Active NPI
Brian Paul Livermore, M.D.
- Family Medicine Physician
- Bemidji, MN
National Provider Identifier
1013956234
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- MN27911
- Practice address
- 619 5TH St NW
Bemidji, MN 56601-2914 - Phone
- (218) 751-4144
- Fax
- (218) 751-3545
- NPI assigned
- Jun 5, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | MN27911 | MN | Primary |
Addresses
Primary practice location
619 5TH St NW
Bemidji, MN 56601-2914
Mailing address
1519 Lincoln Log LN SW
Bemidji, MN 56601-9085
Phone (218) 751-8746
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| HP17897 | Other | MN | MN HEALTHPARTNERS |
| 01-29567 | Other | MN | MN MEDICA |
| 83095LI | Other | MN | MN BLUECROSS BLUESHIELD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MN27911 | MN | MD | Family Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149465600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1013956234",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1519 LINCOLN LOG LN SW",
"city": "BEMIDJI",
"state": "MN",
"postal_code": "566019085",
"telephone_number": "218-751-8746"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "619 5TH ST NW",
"city": "BEMIDJI",
"state": "MN",
"postal_code": "566012914",
"telephone_number": "218-751-4144",
"fax_number": "218-751-3545"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LIVERMORE",
"first_name": "BRIAN",
"middle_name": "PAUL",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-05",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MN",
"license": "MN27911",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MN HEALTHPARTNERS",
"identifier": "HP17897",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MN MEDICA",
"identifier": "01-29567",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MN BLUECROSS BLUESHIELD",
"identifier": "83095LI",
"state": "MN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Bemidji, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.