Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1194214320 Individual Practitioner Male Practitioner

Dr. Jack Edward Burgeson , MD

Pediatrics • Bend, OR

Professional Overview & Biography Verified Profile Summary

Dr. Jack Burgeson, MD is a registered healthcare professional specializing in Pediatrics in Bend, OR. Practice services are available at 2200 NE PROFESSIONAL CT under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

2200 Ne Professional Ct

Bend, OR 977016063

Telephone 5413823344
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Pediatrics in Bend, OR

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 20.9 Yrs
Regional Practice Density
50 Specialists

Practicing in Bend, OR (880 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2024-09-11
Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

State License OR MD217757

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Pediatrics

NUCC Taxonomy Code: 208000000X

State License OH 35.147258

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Pediatrics

NUCC Taxonomy Code: 208000000X

State License UT 11393172-1205

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
David Kirkpatrick , PA

Physician Assistant - Medical

NPI 1003138256

Physician Assistant

Dr. Matthew Lilley , MD

Orthopaedic Surgery

NPI 1003166612

Doctor of Medicine (M.D.)

Dr. James Verheyden , MD

Orthopaedic Surgery - Hand Surgery

NPI 1013912591

Doctor of Medicine (M.D.)

Rachel Kosek

Physician Assistant

NPI 1043807894
Christine Goodall , PA-C

Physician Assistant - Surgical

NPI 1053869685

Physician Assistant (Certified)

Dr. Raymond Tien , MD

Neurological Surgery

NPI 1073518551

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

13 Historical Events
📍
Updated Practice Location September 11, 2024

Registered at 2200 NE PROFESSIONAL CT, BEND, OR 977016063 (Tel: 5413823344)

📍
Updated Business Mailing Address September 11, 2024

Registered at 2200 NE PROFESSIONAL CT, BEND, OR 977016063 (Tel: 5413896313)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 11, 2024

Pediatrics (License #35.147258 in OH)

📍
Updated Practice Location July 27, 2023

Registered at 9500 EUCLID AVE, CLEVELAND, OH 441951103 (Tel: 2164442200)

📍
Updated Business Mailing Address July 27, 2023

Registered at 9500 EUCLID AVE, CLEVELAND, OH 441950001 (Tel: 2164442200)

📍
Updated Business Mailing Address September 16, 2019

Registered at 81 N MARIO CAPECCHI DR, SALT LAKE CITY, UT 841131125 (Tel: 8016625701)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 16, 2019

Pediatrics (License #11393172-1205 in UT)

NPI Profile Active May 03, 2018

NPI status registered as active in NPPES database

📍
Updated Practice Location May 03, 2018

Registered at 100 N MARIO CAPECCHI DR, SALT LAKE CITY, UT 841131103 (Tel: 8016621000)

📍
Updated Business Mailing Address May 03, 2018

Registered at 2835 WEBSTER AVE S, SAINT LOUIS PARK, MN 554161845 (Tel: 6122400493)

👤
Provider Name / Credentials Updated May 03, 2018

Recorded as JACK BURGESON, MD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 03, 2018

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration May 03, 2018

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1194214320
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 03, 2018
Last Update: September 11, 2024
Sole Proprietor: No

Mailing Address

2200 Ne Professional Ct

Bend, OR 977016063

Phone: 5413896313

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.