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

Individual provider Surgical Physician Assistant · NPI 1841640430

Brock Rutherford, PA-C is a Physician Assistant in Bend, Oregon. Graduated from Stanford University School of Medicine in 2016, 10 years ago. Practices with St Charles Health System Inc, a 383-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Oregon.

Years since qualifying
10
Trained at
Stanford University School of Medicine
Licensed in
OR
In the registry since
2016
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

2200 NE Neff Rd Ste 200
Bend, OR 97701-4281
Phone: (541) 382-3344
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1501 Ne Medical Center Dr, Bend, OR 97701-6051 — (541) 382-2811

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence 192493 (OR)

Record details

NPI number1841640430
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJune 15, 2016
Last updated in NPPESApril 2, 2025
Certification dateApril 2, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolSTANFORD UNIVERSITY SCHOOL OF MEDICINE
Graduated 2016 (10 years in practice)
Group practice St Charles Health System Inc — 383 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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