Bruce G Pitts, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

4232 Issued in ND

Practice address

801 Broadway N
Fargo, ND 58102-3641

Phone

(701) 234-6707

Fax

(701) 234-6979

NPI assigned

Jun 27, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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

• Sanford Healthcare Accessories, LLC

  dba Sanford Health Equip

  • Durable Medical Equipment & Medical Supplies
  • Dickinson, ND
  • NPI 1114815511
  NPD (past)
• Sanford Health Network

  dba Sanford Clinic Mountain Lake

  • Rural Health Clinic/Center
  • Mountain Lake, MN
  • NPI 1568469039
  NPD (past)
• Sanford Health Network North

  dba Sanford Behavioral Health Center

  • Psychiatric Hospital
  • Thief River Falls, MN
  • NPI 1790842466
  NPD (past)

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

{
    "created_epoch": "1151366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1335916800000",
    "number": "1477580074",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 BROADWAY N",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581023641",
            "telephone_number": "701-234-6707",
            "fax_number": "701-234-6979"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 BROADWAY N",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581023641",
            "telephone_number": "701-234-6707",
            "fax_number": "701-234-6979"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PITTS",
        "first_name": "BRUCE",
        "middle_name": "G",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-27",
        "last_updated": "2012-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "ND",
            "license": "4232",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MN",
            "license": "24715",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "605793400",
            "state": "MN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "14004",
            "state": "ND"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Linda A Pirkl, CRNA
• Christopher Pischel, DC
• Zoe Pitkin
• Lawrence Piton, DO
• Angela J Pitts
• Danielle Dayle Pitzl
• Vicky L Pizzey, NP-C
• Leslie Ann Pladson Frie, MOT, OTR/L
• Jessica Pladson
• Jakob Plagenz, MD

• Internal Medicine Physician in Fargo, ND
• Providers in Fargo, ND by specialty
• Internal Medicine Physician in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2012; 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.