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

Jack Edward Burgeson, MD

Individual provider Pediatrics Physician · NPI 1194214320

Jack Edward Burgeson, MD is a Pediatrics Physician in Bend, Oregon. Licensed in Ohio, Oregon and Utah. Registered with an NPI since 2018.

Licensed in
OH, OR, UT
In the registry since
2018
Specialties on file
3
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

2200 NE Professional Ct
Bend, OR 97701-6063
Phone: (541) 382-3344
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence MD217757 (OR)
Pediatrics Physician Taxonomy 208000000X · Licence 35.147258 (OH)
Pediatrics Physician Taxonomy 208000000X · Licence 11393172-1205 (UT)

Record details

NPI number1194214320
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 3, 2018
Last updated in NPPESSeptember 11, 2024
Certification dateSeptember 11, 2024
Mailing address2200 Ne Professional Ct, Bend, OR 97701-6063

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