NPIMap

Organization Active NPI

Hans Bjellum MD PC

  • Non-Pharmacy Dispensing Site
  • Fargo, ND
National Provider Identifier
1073867263
Registry record updated Nov 9, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-Pharmacy Dispensing SiteTaxonomy code 332900000X
Legal business name
HANS BJELLUM MD PC
Practice address
1100 19TH Ave N
Fargo, ND 58102-5906
Phone
(701) 232-6211
NPI assigned
Nov 9, 2012
Organization subpart
Yes
Parent organization
HANS BJELLUM MD PCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 9, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Hans Bjellum, M.D.
Title
Ceo
Phone
(701) 232-6211

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Non-Pharmacy Dispensing Site 332900000X Primary

Addresses

Primary practice location

1100 19TH Ave N
Fargo, ND 58102-5906

Mailing address

6501 City West Pkwy
Eden Prairie, MN 55344-3248
Phone (952) 653-2525

Other names 1

  • 7 Day Walk In Clinic Other name

National Provider Directory

National Provider Directory
Tax ID family
7 Day Clinic6 organizations share this tax ID, including this one
Part of
7 Day Clinic

Other organizations with this tax ID 5

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1352419200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1352419200000",
    "number": "1073867263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6501 CITY WEST PKWY",
            "city": "EDEN PRAIRIE",
            "state": "MN",
            "postal_code": "553443248",
            "telephone_number": "952-653-2525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 19TH AVE N",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581025906",
            "telephone_number": "701-232-6211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HANS BJELLUM MD PC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "HANS BJELLUM MD PC",
        "enumeration_date": "2012-11-09",
        "last_updated": "2012-11-09",
        "status": "A",
        "authorized_official_last_name": "BJELLUM",
        "authorized_official_first_name": "HANS",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "701-232-6211",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "332900000X",
            "taxonomy_group": "",
            "desc": "Non-Pharmacy Dispensing Site",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "7 Day Walk In Clinic",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Fargo, ND

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.