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

Willie Underwood III, MD

Individual provider Urology Physician · NPI 1831136829

Willie Underwood III, MD is an Urology in Bend, Oregon. Qualified in 1994, 32 years ago. Practices with Princeton Community Hospital Assn Inc, a 175-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in New York and Oregon.

Years since qualifying
32
Licensed in
NY, OR
In the registry since
2006
Specialties on file
2
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

1247 NE Medical Center Dr Ste C
Bend, OR 97701-3786
Phone: (541) 322-5753
Fax: (541) 278-8368
Show map & directions

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

Additional practice locations (1)

  • Elm And Carlton St, Buffalo, NY 14263-0001 — (716) 845-2300

Specialties & licences

Urology Physician (primary) Taxonomy 208800000X · Licence MD214003 (OR)
Urology Physician Taxonomy 208800000X · Licence 250131 (NY)

Record details

NPI number1831136829
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 31, 2006
Last updated in NPPESDecember 21, 2022
Certification dateDecember 21, 2022
Mailing addressPo Box 1517, Pendleton, OR 97801-0410

Medicare enrollment

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

Medicare specialtyUROLOGY
Medical schoolOTHER
Graduated 1994 (32 years in practice)
Group practice Princeton Community Hospital Assn. Inc. — 175 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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