Active NPI
John Anker Gjevre Sr., MD
- Internal Medicine Physician
- Breckenridge, MN
National Provider Identifier
1487680930
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 18597
- Practice address
- 415 Oak St
Breckenridge, MN 56520-1242 - Phone
- (218) 643-3000
- Fax
- (218) 643-7502
- NPI assigned
- Jun 25, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 18597 | MN | Primary |
| Internal Medicine Physician | 207R00000X | 3403 | MN |
Addresses
Primary practice location
415 Oak St
Breckenridge, MN 56520-1242
Mailing address
1325 S River Dr
Moorhead, MN 56560-4055
Phone (218) 236-8566
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3403 | MN | MD | Marriage & Family Therapist |
| 18597 | MN | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St. Francis Medical Center | Past | Accepting new patients | |
| St Francis Medical Center | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Critical Access Hospital
- Breckenridge, MN
- NPI 1891954574
-
- Rural Health Clinic/Center
- Milnor, ND
- NPI 1235215252
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151193600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1487680930",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1325 S RIVER DR",
"city": "MOORHEAD",
"state": "MN",
"postal_code": "565604055",
"telephone_number": "218-236-8566"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "415 OAK ST",
"city": "BRECKENRIDGE",
"state": "MN",
"postal_code": "565201242",
"telephone_number": "218-643-3000",
"fax_number": "218-643-7502"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GJEVRE",
"first_name": "JOHN",
"middle_name": "ANKER",
"name_prefix": "Dr.",
"name_suffix": "Sr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-25",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MN",
"license": "18597",
"primary": true
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MN",
"license": "3403",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Breckenridge, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.