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NPISignal

Individual Healthcare Provider

Jeremy James Logan, MD

NPI Record: ActiveRadiology — Diagnostic Radiology
NPI1053383729
Bend, Oregon

Provider's NPPES record last updated: July 9, 2026

Overview

Entity Type
Individual Healthcare Provider
NPI
1053383729
Primary Specialty
Radiology — Diagnostic Radiology
Practice Location
Bend, Oregon
Sole Proprietor
No

Federal Screening

NPISignal checked this NPI against federal exclusion sources. Results below are based on the NPI number itself — an identifier match, not a name match.

List of Excluded Individuals/Entities (LEIE)

HHS Office of Inspector General

No potential match identified

No potential match was identified in NPISignal's indexed List of Excluded Individuals/Entities (LEIE) records as of 2026-09-10.

Source data
September 10, 2026
Records indexed
84,001
Screened
Sep 18, 2026, 11:49 AM UTC

This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.

SAM.gov Exclusions

U.S. General Services Administration

Not checked

SAM.gov Exclusions was not checked.

SAM.gov screening is not configured on this deployment. No SAM check has been performed.

Screened
Not checked

This is an NPI-based check only. NPISignal does not publish name-based exclusion matches on a provider profile. A shared or similar name is a lead that requires human review, not an identification, and this page is not the place to make one. Run a name-based screening below to see potential matches with the reasons for each.

This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.

Run a name-based screening

Searches OIG LEIE and SAM.gov by name and reviews every potential match.

Specialties & Taxonomies

  • Radiology

    Diagnostic Radiology

    Allopathic & Osteopathic Physicians

    Primary

    A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

    Taxonomy code 2085R0202X

Provider-Reported License Information

Radiology (Wisconsin)
81641-20
Radiology (Oregon)
MD219095
Radiology (New Mexico)
MD2005-0545
License numbers are reported by the provider to NPPES and are not independently verified by NPISignal against any state licensing board. Confirm current license status directly with the issuing state board.

Practice Locations

Practice Location

1460 Ne Medical Center Dr

Bend, Oregon 97701-6061

Phone: (541) 382-6633

Additional Practice Location

4411 the 25 Way Ne

Suite 150

Albuquerque, New Mexico 87109-5857

Phone: (505) 332-6900

Fax: (505) 332-6921

Additional Practice Location

1000 N Oak Ave

Marshfield, Wisconsin 54449-5703

Phone: (715) 387-5511

Record Information

Enumeration Date
February 6, 2006
Provider's NPPES Record Last Updated
July 9, 2026
Certification Date
July 9, 2026
NPISignal NPPES Dataset
August 2026

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