Individual provider Active NPI

John Anker Gjevre Sr., MD

  • Internal Medicine Physician
  • Breckenridge, MN
National Provider Identifier
1487680930
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
18597 Issued in MN
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

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
3403MNMDMarriage & Family Therapist
18597MNMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew 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.

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.

Verify at the official NPI Registry.