Willie Underwood III, MD

Urology Physician · Bend, OR

Individual Active NPI

NPI number 1831136829

Practice location

1247 NE Medical Center Dr Ste C
Bend, OR 97701-3786
Phone
(541) 322-5753
Fax
(541) 278-8368

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NPI record

NPI
1831136829
Entity type
Individual (Type 1)
Enumeration date
May 31, 2006
Last updated
December 21, 2022
Certified
December 21, 2022
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Urology Physician Primary 208800000X MD214003 OR
Urology Physician 208800000X 250131 NY

Mailing address

PO Box 1517
Pendleton, OR 97801-0410
Phone
(877) 708-1119
Fax
(541) 278-8349

Other practice locations (1)

  • Elm and Carlton St, Buffalo, NY 14263-0001 · (716) 845-2300

About Dr. Underwood

Willie Underwood III, MD is a healthcare provider registered in the NPI registry with the primary taxonomy Urology Physician (code 208800000X). The practice location is 1247 NE Medical Center Dr Ste C, Bend, OR 97701-3786. The NPI number 1831136829 was assigned on May 31, 2006 and the record was last updated on December 21, 2022.

Dr. Underwood lists 2 licenses in the registry: #MD214003 (OR) for Urology Physician; #250131 (NY) for Urology Physician. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Willie Underwood III, MD?

The NPI number is 1831136829.

What is the phone number of Dr. Underwood?

The phone number listed for the practice location is (541) 322-5753.

Where is Dr. Underwood located?

1247 NE Medical Center Dr Ste C, Bend, OR 97701-3786.

What is the taxonomy code for Dr. Underwood?

The primary taxonomy code is 208800000X – Urology Physician; 1 more listed above.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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