Michael Edward Bisgrove, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

0101039643 Issued in VA

Practice address

555 5TH St
Suite #1
Brookings, OR 97415-9730

Phone

(541) 412-1152

Fax

(541) 412-1842

NPI assigned

Jul 4, 2006

Last updated

Jan 4, 2011By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OR

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Gibson Community Hospital Association

  dba Gibson Area Hospital and Health Services

  • Critical Access Hospital
  • Gibson City, IL
  • NPI 1114935681
  NPD (past)

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

{
    "created_epoch": "1151971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1294099200000",
    "number": "1104856046",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "555 5TH ST",
            "address_2": "SUITE #1",
            "city": "BROOKINGS",
            "state": "OR",
            "postal_code": "974159730",
            "telephone_number": "541-412-1152",
            "fax_number": "541-412-1842"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "555 5TH ST",
            "address_2": "SUITE #1",
            "city": "BROOKINGS",
            "state": "OR",
            "postal_code": "974159730",
            "telephone_number": "541-412-1152",
            "fax_number": "541-412-1842"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BISGROVE",
        "first_name": "MICHAEL",
        "middle_name": "EDWARD",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-04",
        "last_updated": "2011-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "VA",
            "license": "0101039643",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Suzanne Bedke, RPH
• Ashley N Benson
• Hazel Berry
• Better Health Family Medical, LLC
• Raechele Darleen Bird
• Michelle L Bishop, AU.D.
• Jeanne A. Bisson, M.A. LMFT
• Wendy Blymyer, D.C.
• Ronald Dustin Bodman, O.D.
• Shannon Bonde

• Family Medicine Physician in Brookings, OR
• Providers in Brookings, OR by specialty
• Family Medicine Physician in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2011; 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.

Verify at the official NPI Registry.