Active NPI
Becoming Balanced PC
- Multi-Specialty Clinic/Center
- Fargo, ND
National Provider Identifier
1285196303
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Multi-Specialty Clinic/Center
- Legal business name
- BECOMING BALANCED PC
- Practice address
- 3125 41St St S
Fargo, ND 58104-8666 - Phone
- (701) 371-9083
- NPI assigned
- Apr 5, 2019
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- David L Markel
- Title
- Credentialing & Billing Manager
- Phone
- (701) 205-4533
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Multi-Specialty Clinic/Center | 261QM1300X | Primary |
Addresses
Primary practice location
3125 41St St S
Fargo, ND 58104-8666
Mailing address
3453 Interstate Blvd S Ste B
Fargo, ND 58103-2213
Phone (701) 540-5487
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ND
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
4610 Amber Valley Pkwy S
Ste F
Fargo, ND 58104
Phone (701) 258-3780
3125 41st St S
Fargo, ND 58104
Phone (701) 371-9083
4610 Amber Valley Pkwy S
Ste E
Fargo, ND 58104
Phone (701) 551-1840
Practitioners & affiliated clinicians
Practitioners 9
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Professional Counselor
- Fargo, ND
- NPI 1992398770
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1554422400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1554422400000",
"number": "1285196303",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3453 INTERSTATE BLVD S STE B",
"city": "FARGO",
"state": "ND",
"postal_code": "581032213",
"telephone_number": "701-540-5487",
"fax_number": "701-205-4593"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3125 41ST ST S",
"city": "FARGO",
"state": "ND",
"postal_code": "581048666",
"telephone_number": "701-371-9083"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BECOMING BALANCED PC",
"organizational_subpart": "NO",
"enumeration_date": "2019-04-05",
"last_updated": "2019-04-05",
"status": "A",
"authorized_official_last_name": "MARKEL",
"authorized_official_first_name": "DAVID",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "CREDENTIALING & BILLING MANAGER",
"authorized_official_telephone_number": "701-205-4533"
},
"taxonomies": [
{
"code": "261QM1300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Multi-Specialty",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}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 Apr 5, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.