# HIGH DESERT SPORTS AND SPINE, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1073376695
- **Authorized official:** EDWARD JOSEPH KENT MD (OWNER)
- **Authorized official phone:** (208) 500-8667

## Contact information

- **Practice address:** 1140 SW SIMPSON AVE STE 100, BEND, OR 97702-3789
- **Practice address phone:** (541) 388-2333
- **Practice address fax:** (541) 388-0930
- **Mailing address:** 1140 SW SIMPSON AVE STE 100, BEND, OR 97702-3789
- **Mailing address phone:** (541) 388-2333
- **Mailing address fax:** (541) 388-0930

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207LP2900X | Pain Medicine (Anesthesiology) Physician | — | NULL | Yes |
| 207LP2900X | Pain Medicine (Anesthesiology) Physician | — | — | Yes |
| 207PE0004X | Emergency Medical Services (Emergency Medicine) Physician | — | NULL | — |
| 207PE0004X | Emergency Medical Services (Emergency Medicine) Physician | — | — | — |
| 2081P2900X | Pain Medicine (Physical Medicine & Rehabilitation) Physician | — | NULL | — |
| 2081P2900X | Pain Medicine (Physical Medicine & Rehabilitation) Physician | — | — | — |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | NULL | — |
| 363A00000X | Physician Assistant | — | NULL | — |
| 363A00000X | Physician Assistant | — | — | — |

## Other

- **Enumeration date:** 02/05/2024
- **Last updated:** 01/28/2026