Gary Robert Betting, MD

Individual provider Active NPI Family Medicine Physician · Bismarck, ND

NPI 1003844648 · NPPES record last updated Mar 18, 2010

Key facts

NPI
1003844648
Entity type
Individual (NPI type 1)
Primary specialty
Family Medicine Physician 207Q00000X
License
6970 (ND)
Practice address
515 E Broadway
Center for Family Medicine
Bismarck, ND 58501
Phone
(701) 751-9500
Fax
(701) 751-9508
NPI assigned
Jun 30, 2006
Sex
Male
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
6970NDMDFamily Medicine Physician

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 6970 ND Yes

Addresses

Primary practice location

515 E Broadway
Center for Family Medicine
Bismarck, ND 58501

Mailing address

515 E Broadway
Bismarck, ND 58501
Phone (701) 751-9500

Other identifiers

IdentifierTypeStateIssuer
18112MedicaidND
12432OtherNDBCBS

Other providers in Bismarck, ND

All providers in Bismarck, ND · Family Medicine Physician in North Dakota

Sources for this page

Verify at the official NPI Registry.