Individual provider

Audra Burdulis, PA-C

Medical Physician Assistant Medicare enrolled

Audra Burdulis, PA-C is a Medical Physician Assistant in Bend, OR, registered under NPI 1124075205.

Getting there

The practice address on file is 108 NW SISEMORE ST STE 120, Bend, OR 97703. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.

108 NW SISEMORE ST STE 120, Bend, OR 97703 Open in Google Maps →

Credentials and Medicare

State licence
LicenceStateSpecialty
PA228080 OR Medical Physician Assistant primary
PA10004625 WA Medical Physician Assistant

Licences are recorded in 2 states: OR, WA. Providers licensed in several states often practise near a state border or deliver telehealth across state lines.

Medicare (PECOS)
Status
Approved
Provider type
Practitioner - Physician Assistant
PAC ID
5294739926

Medicare enrolment is recorded as approved under the provider type Practitioner - Physician Assistant. This means the provider is enrolled to bill Medicare, though it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.

Licensed in 2 states

This provider holds licences in 2 states: Oregon and Washington. The practice address on file is in Bend, OR, but a licence in another state usually means they see patients there too — either at a second location or by telehealth. If the address above is far from you, it is worth calling to ask whether they practise closer to where you live.

OR Oregon practice address
Licence
PA228080
Specialty
Medical Physician Assistant
Verify with the OR board →
WA Washington
Licence
PA10004625
Specialty
Medical Physician Assistant
Verify with the WA board →

Licence numbers are self-reported to NPPES at registration. They do not confirm a licence is currently active, in good standing, or valid for the specialty shown — only the state board can tell you that, which is why we link to each one.

What Medical covers

Definition to come... NUCC Health Care Provider Taxonomy, code 363AM0700X
Physician Assistants & Advanced Practice Nursing Providers Physician Assistant Medical

All registered taxonomy codes

This provider registers 2 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.

CodeSpecialtyLicenceState
363AM0700X Medical Physician Assistant Medical PA228080 OR primary
363AM0700X Medical Physician Assistant Medical PA10004625 WA

The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.

Full NPPES record

An NPI-1 identifies a single person. It stays with the clinician for life, even if they move practice or change state, which is why the address on file can lag behind where they actually work today.

NPI1124075205 valid check digit
Entity typeIndividual (NPI-1)
Enumeration dateMay 27, 2006
Last updatedMar 20, 2026
StatusActive
Sole proprietorNo
CredentialPA-C
Practice address 108 NW SISEMORE ST STE 120
Bend, OR 97703
(541) 213-2133
Mailing address 600 JEFFERSON ST STE 600
Lafayette, LA 70501
Other identifiers 2009751 (WA)
G8891360 · MEDICARE W VALLEY MEDICAL GROUP - RENTON (WA)
This record was updated on Mar 20, 2026, which is recent enough that the contact details are likely still accurate.

Number check

1124075205 passes the NPI check digit test The final digit 5 matches the value computed from the first nine digits, so this is a well-formed NPI.
How the check works, step by step

Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.

Digit 8 0 8 4 0 1 1 2 4 0 7 5 2 0
Doubled? ×2 ×2 ×2 ×2 ×2 ×2 ×2
Value 8 0 8 8 0 2 1 4 4 0 7 1 2 0

Sum = 45 · next multiple of 10 = 50 · check digit = 5 · actual last digit = 5

A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.

Common questions

What is NPI number 1124075205?
NPI 1124075205 is the National Provider Identifier assigned to Audra Burdulis, PA-C in Bend, OR. It is a 10-digit number issued by the Centers for Medicare & Medicaid Services and used on claims, referrals, and prescriptions to identify the provider.
What does Medical cover?
Definition to come...
How do I contact Audra Burdulis, PA-C?
The phone number on file with NPPES is (541) 213-2133, last updated Mar 20, 2026. Because NPPES is only updated when a provider files a change, call ahead to confirm the number and the current practice address before visiting.
Does Audra Burdulis, PA-C accept Medicare?
This NPI has an approved Medicare enrolment in PECOS, which means the provider is enrolled to bill Medicare. Enrolment does not guarantee they are accepting new Medicare patients — verify directly with the office.
Is NPI 1124075205 a valid number?
Yes. 1124075205 passes the Luhn check digit validation that CMS uses for NPI numbers, and it resolves to an active record in the registry.
How to use this page. Everything here comes from public federal records. Tips Health does not verify quality of care, confirm that a licence is currently active, or check malpractice history, and accepts no fees for placement. A listing is not a recommendation. Verify independently before seeking care.