Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

High Desert Sports and Spine, LLC

Organization Pain Medicine (Anesthesiology) Physician · NPI 1073376695

High Desert Sports and Spine, LLC provides Pain Medicine (Anesthesiology) Physician services in Bend, Oregon. Registered with an NPI since 2024.

In the registry since
2024
Specialties on file
5
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1140 SW Simpson Ave Ste 100
Bend, OR 97702-3789
Phone: (541) 388-2333
Fax: (541) 388-0930
Show map & directions

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

Specialties & licences

Pain Medicine (Anesthesiology) Physician (primary) Taxonomy 207LP2900X
Emergency Medical Services (Emergency Medicine) Physician Taxonomy 207PE0004X
Pain Medicine (Physical Medicine & Rehabilitation) Physician Taxonomy 2081P2900X
Durable Medical Equipment & Medical Supplies Taxonomy 332B00000X
Physician Assistant Taxonomy 363A00000X

Record details

NPI number1073376695
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Edward Kent — Owner · (208) 500-8667
NPI enumeratedFebruary 5, 2024
Last updated in NPPESJanuary 28, 2026
Certification dateJanuary 28, 2026
Mailing address1140 Sw Simpson Ave Ste 100, Bend, OR 97702-3789

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