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NPI Code Detail

MEDICARE: GARY D HOOD MD

MEDICARE: GARY D HOOD MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207R00000XInternal Medicine Physician4301034087MI
2207PE0004XEmergency Medical Services (Emergency Medicine) Physician4301034087MI
3207R00000XInternal Medicine PhysicianMD154234OR

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1GH034087OTHERBLUE CROSS BLUE SHIELD
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1316942709
Entity Type Code : Individual
Provider Name (Legal Business Name) : GARY D HOOD MD
Provider Business Mailing Address
First Line : PO BOX 5579
Second Line :
City : BEND
State : OR
Zip : 97708-5579
Country : US
Telephone Number : 541-516-3866
Fax Number : 541-516-3877
Provider Business Practice Location Address
First Line : 2500 NE NEFF RD
Second Line :
City : BEND
State : OR
Zip : 97701-6015
Country : US
Telephone Number : 541-706-5811
Fax Number : 541-706-5867
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/14/2005
Last Update Date : 07/06/2012

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Directions to “ GARY D HOOD MD” Practice Location

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