Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

High Desert Sports and Spine, LLC

Organization Pain Medicine (Anesthesiology) Physician · NPI 1073376695

High Desert Sports and Spine, LLC is a Pain Medicine (Anesthesiology) Physician in Bend, Oregon. Registered with an NPI since 2024.

In the registry since
2024
Specialties on file
5
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1140 SW Simpson Ave Ste 100
Bend, OR 97702-3789
Phone: (541) 388-2333
Fax: (541) 388-0930
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pain Medicine (Anesthesiology) Physician (primary) Taxonomy 207LP2900X
Emergency Medical Services (Emergency Medicine) Physician Taxonomy 207PE0004X
Pain Medicine (Physical Medicine & Rehabilitation) Physician Taxonomy 2081P2900X
Durable Medical Equipment & Medical Supplies Taxonomy 332B00000X
Physician Assistant Taxonomy 363A00000X

Record details

NPI number1073376695
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Edward Kent — Owner · (208) 500-8667
NPI enumeratedFebruary 5, 2024
Last updated in NPPESJanuary 28, 2026
Certification dateJanuary 28, 2026
Mailing address1140 Sw Simpson Ave Ste 100, Bend, OR 97702-3789

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