Active NPI
Primecare Physicians
- Obesity Medicine (Family Medicine) Physician
- Bloomington, MN
National Provider Identifier
1336058064
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obesity Medicine (Family Medicine) Physician
- Legal business name
- PRIMECARE PHYSICIANS
- Practice address
- 8449 Aldrich Ave S
Bloomington, MN 55420-2214 - Phone
- (661) 717-7224
- NPI assigned
- Sep 7, 2026
- 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
- Fardows O Salim, MD
- Title
- Medical Director
- Phone
- (661) 717-7224
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obesity Medicine (Family Medicine) Physician | 207QB0002X | Primary | ||
| Obesity Medicine (Preventive Medicine) Physician | 2083B0002X | |||
| Addiction Psychiatry Physician | 2084P0802X |
Addresses
Primary practice location
8449 Aldrich Ave S
Bloomington, MN 55420-2214
Mailing address
8449 Aldrich Ave S
Bloomington, MN 55420-2214
Phone (661) 717-7224
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1788739200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1788739200000",
"number": "1336058064",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8449 ALDRICH AVE S",
"city": "BLOOMINGTON",
"state": "MN",
"postal_code": "554202214",
"telephone_number": "661-717-7224"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8449 ALDRICH AVE S",
"city": "BLOOMINGTON",
"state": "MN",
"postal_code": "554202214",
"telephone_number": "661-717-7224"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PRIMECARE PHYSICIANS",
"organizational_subpart": "NO",
"enumeration_date": "2026-09-07",
"last_updated": "2026-09-07",
"certification_date": "2026-09-07",
"status": "A",
"authorized_official_last_name": "SALIM",
"authorized_official_first_name": "FARDOWS",
"authorized_official_middle_name": "O",
"authorized_official_title_or_position": "MEDICAL DIRECTOR",
"authorized_official_telephone_number": "661-717-7224",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207QB0002X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine, Obesity Medicine",
"state": null,
"license": null,
"primary": true
},
{
"code": "2083B0002X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Preventive Medicine, Obesity Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "2084P0802X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Addiction Psychiatry",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bloomington, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.