Nordic Family Medicine PC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

NORDIC FAMILY MEDICINE PC

Practice address

5621 36TH Ave S Unit 200
Fargo, ND 58104-5270

Phone

(701) 977-9277

NPI assigned

Aug 10, 2022

Last updated

Aug 10, 2022By 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. Hans Erik Bjellum, MDNPI 1396736443

Title

Owner

Phone

(701) 318-4407

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in ND

Enrollment records 1

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Hans E Bjellum, MD

  • Family Medicine Physician
  • Fargo, ND
  • NPI 1396736443
  Medicare reassignment NPD Authorized official
• Michael J Page, MD

  • Family Medicine Physician
  • Carrington, ND
  • NPI 1487631032
  Medicare reassignment NPD
• Gary Douglas Mellum, D.C.

  • Chiropractor
  • Fargo, ND
  • NPI 1750637013
  NPD

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

{
    "created_epoch": "1660089600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1660089600000",
    "number": "1679201578",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5621 36TH AVE S UNIT 200",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581045270",
            "telephone_number": "701-977-9277"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5621 36TH AVE S UNIT 200",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581045270",
            "telephone_number": "701-977-9277"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORDIC FAMILY MEDICINE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-10",
        "last_updated": "2022-08-10",
        "certification_date": "2022-08-04",
        "status": "A",
        "authorized_official_last_name": "BJELLUM",
        "authorized_official_first_name": "HANS",
        "authorized_official_middle_name": "ERIK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "701-318-4407",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Benjamin Noonan, MD
• Melanie A Noonan, NP
• Alonna K Norberg, MD
• Gwen P Nordahl, PA-C
• Lauren Nordberg
• Kinley Jo Nordin
• Nordlyn Home Health
• Hope Nordrum
• Haley Sue Nordskog
• Laura J Noreen, RD, LRD, CNSC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.