David Paul Baumgardner, MD
Individual provider Active NPI Internal Medicine Physician · Fargo, ND
NPI 1205070943 · NPPES record last updated Dec 6, 2012
Key facts
- NPI
- 1205070943
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Internal Medicine Physician 207R00000X
- License
- 3605 (ND)
- Practice address
- 1707 Gold Dr S Ste 101
Fargo, ND 58103-6413 - Phone
- (701) 280-2033
- Fax
- (701) 232-5578
- NPI assigned
- Apr 24, 2009
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sanford Medical Center Fargo | Internal Medicine | Current | Accepting new patients |
Locations
2400 32nd Ave S
Fargo, ND 58103
Phone (701) 234-8800
420 S 7th St
Oakes, ND 58474
Phone (701) 742-3267
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 3605 | ND | Yes |
Addresses
Primary practice location
1707 Gold Dr S Ste 101
Fargo, ND 58103-6413
Mailing address
1707 Gold Dr S Ste 101
Fargo, ND 58103-6413
Phone (701) 280-2033
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 12420 | Medicaid | ND |
Other providers in Fargo, ND
- Hailey Nicole Bauer
- Kelsey C Bauer
- Aliya Susan Baum
- Ann Marie Baumeister
- Jennifer Baumeister
- Rachel Baumgart
- April Baumgartner
- Jessica M Baumgartner
- Mary Susan Baumgartner
- Peyton Boom Baumgartner
All providers in Fargo, ND · Internal Medicine Physician in North Dakota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 6, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.