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

Timothy S Bollom, MD

Individual provider Sports Medicine (Orthopaedic Surgery) Physician · NPI 1639179930

Timothy S Bollom, MD is an Orthopedic Surgery in Bend, Oregon. Graduated from University of Minnesota Medical School in 1998, 28 years ago. Practices with St Charles Health System Inc, a 383-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Oregon.

Years since qualifying
28
Trained at
University of Minnesota Medical School
Licensed in
OR
In the registry since
2005
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

2200 NE Neff Rd
Bend, OR 97701-4283
Phone: (541) 382-3344
Fax: (541) 382-1681
Show map & directions

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

Additional practice locations (1)

  • 2200 Ne Neff Rd, Bend, OR 97701-4283 — (541) 382-3344

Specialties & licences

Sports Medicine (Orthopaedic Surgery) Physician (primary) Taxonomy 207XX0005X · Licence MD25128 (OR)

Record details

NPI number1639179930
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 28, 2005
Last updated in NPPESMarch 4, 2025
Certification dateMarch 4, 2025
Mailing address2200 Ne Neff Rd, Ste 200, Bend, OR 97701-4283

Medicare enrollment

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

Medicare specialtyORTHOPEDIC SURGERY
Also practisesSPORTS MEDICINE
Medical schoolUNIVERSITY OF MINNESOTA MEDICAL SCHOOL
Graduated 1998 (28 years in practice)
Group practice St Charles Health System Inc — 383 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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