Active NPI
Jerry M Obritsch, MD
- Obstetrics & Gynecology Physician
- Bismarck, ND
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- 5899
- Practice address
- 1000 E Rosser Ave
Bismarck, ND 58501-4414 - Phone
- (701) 712-4500
- Fax
- (701) 712-4098
- NPI assigned
- May 20, 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 |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 5899 | ND | Primary |
Addresses
Primary practice location
1000 E Rosser Ave
Bismarck, ND 58501-4414
Mailing address
1000 E Rosser Ave
Bismarck, ND 58501-4414
Phone (701) 712-4500
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 16790 | Medicaid | ND | |
| 160018356 | Other | ND | MEDICARE RAILROAD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ND, SD
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5899 | ND | MD | Obstetrics & Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mid Dakota Clinic, Inc. | Current | Accepting new patients | |
| Mobridge Regional Hospital | Current | Accepting new patients | |
| Mobridge Regional Hospital | Current | Accepting new patients | |
| Mobridge Regional Hospital | Current | Accepting new patients | |
| Mobridge Regional Hospital | Current | Accepting new patients | |
| St Alexius Medical Center | Current | Accepting new patients | |
| St. Alexius Medical Center | Current | Accepting new patients | |
| Fort Yates Indian Health Service Hospital | Past | Accepting new patients | |
| Frances Mahon Deaconess Hospital | Past | Accepting new patients |
Locations
900 E Broadway Ave
Bismarck, ND 58501
Phone (701) 530-7300
1000 E Rosser Ave
Bismarck, ND 58501
Phone (701) 530-6000
401 N 9th St
Bismarck, ND 58501
Phone (701) 530-6000
3000 32nd Ave S
Fargo, ND 58103
Phone (701) 364-3000
1309 10th Ave W
Mobridge, SD 57601
Phone (605) 845-3692
1401 10th Ave W
Mobridge, SD 57601
Phone (605) 845-3692
Interoperability endpoints
- https://fhir-myrecord.cerner.com/r4/95143858-4077-4cf1-b5d2-c2a999f62bb3/
Organizations & group practices 9
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Clinic/Center
- Bismarck, ND
- NPI 1275587826
-
- Specialist
- Bismarck, ND
- NPI 1205868429
-
- Critical Access Hospital
- Mobridge, SD
- NPI 1871554311
-
- Home Infusion Therapy Pharmacy
- Bismarck, ND
- NPI 1063663607
-
- Rural Health Clinic/Center
- Selby, SD
- NPI 1093335333
-
- Rural Health Clinic/Center
- Mobridge, SD
- NPI 1275502577
-
- Critical Access Hospital
- Mobridge, SD
- NPI 1902948896
-
- Clinic/Center
- McLaughlin, SD
- NPI 1710037288
-
- Critical Access Hospital
- Glasgow, MT
- NPI 1689685323
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148083200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1686787200000",
"number": "1093769291",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1000 E ROSSER AVE",
"city": "BISMARCK",
"state": "ND",
"postal_code": "585014414",
"telephone_number": "701-712-4500"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1000 E ROSSER AVE",
"city": "BISMARCK",
"state": "ND",
"postal_code": "585014414",
"telephone_number": "701-712-4500",
"fax_number": "701-712-4098"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OBRITSCH",
"first_name": "JERRY",
"middle_name": "M",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-20",
"last_updated": "2023-06-15",
"certification_date": "2023-06-15",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "ND",
"license": "5899",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "16790",
"state": "ND"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE RAILROAD",
"identifier": "160018356",
"state": "ND"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Bismarck, ND
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.