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

Individual provider Diagnostic Radiology Physician · NPI 1073891735

Dr. Theodore Jennermann, MD is a Diagnostic Radiology in Bend, Oregon. Graduated from Indiana University School of Medicine in 2011, 15 years ago. Practices with Central Oregon Radiology Assoc PC, a 43-clinician group and accepts Medicare assignment. Licensed in Oregon.

Years since qualifying
15
Trained at
Indiana University School of Medicine
Licensed in
OR
In the registry since
2011
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1460 NE Medical Center Dr
Bend, OR 97701-6061
Phone: (541) 382-6633
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Diagnostic Radiology Physician (primary) Taxonomy 2085R0202X · Licence MD197977 (OR)

Record details

NPI number1073891735
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 29, 2011
Last updated in NPPESMarch 2, 2023
Certification dateMarch 2, 2023
Mailing address1460 Ne Medical Center Dr, Bend, OR 97701-6061

Medicare enrollment

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

Medicare specialtyDIAGNOSTIC RADIOLOGY
Medical schoolINDIANA UNIVERSITY SCHOOL OF MEDICINE
Graduated 2011 (15 years in practice)
Group practice Central Oregon Radiology Assoc Pc — 43 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

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