Bismarck Nephrology Inc.

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

Legal business name

BISMARCK NEPHROLOGY INC.

Practice address

1714 N 9TH St
Bismarck, ND 58501-1837

Phone

(701) 223-3961

Fax

(701) 223-3971

NPI assigned

May 14, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Elizabeth Sundberg, M.D., PH.D.

Title

President

Phone

(701) 223-3961

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1179100800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1356556005",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1714 N 9TH ST",
            "city": "BISMARCK",
            "state": "ND",
            "postal_code": "585011837",
            "telephone_number": "701-223-3961",
            "fax_number": "701-223-3971"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1714 N 9TH ST",
            "city": "BISMARCK",
            "state": "ND",
            "postal_code": "585011837",
            "telephone_number": "701-223-3961",
            "fax_number": "701-223-3971"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BISMARCK NEPHROLOGY INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-14",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SUNDBERG",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "701-223-3961",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D., PH.D."
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "14150",
            "state": "ND"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Nephrology Physician in Bismarck, ND
• Providers in Bismarck, ND by specialty
• Nephrology Physician in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.