Organization Active NPI

Hans Bjellum, MD, PC

  • Non-Pharmacy Dispensing Site
  • Fargo, ND
National Provider Identifier
1679869697
Registry record updated Jun 28, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-Pharmacy Dispensing SiteTaxonomy code 332900000X
Legal business name
HANS BJELLUM, MD, PC
Doing business as
7 Day Clinic
Practice address
4622 40TH Ave S
Fargo, ND 58104-4394
Phone
(701) 232-6211
NPI assigned
Jun 28, 2011
Organization subpart
Yes
Parent organization
HANS BJELLUM, MD, PCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 28, 2011

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

Authorized official

Name
Dr. Hans Bjellum, M.D.
Title
President
Phone
(701) 232-6211

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Non-Pharmacy Dispensing Site 332900000X Primary

Addresses

Primary practice location

4622 40TH Ave S
Fargo, ND 58104-4394

Mailing address

6501 City West Pkwy
Eden Prairie, MN 55344-3248
Phone (952) 653-2525

Other names 1

  • 7 Day Clinic Doing business as

National Provider Directory

National Provider Directory
Tax ID family
7 Day Clinic6 organizations share this tax ID, including this one
Part of
7 Day Clinic

Other organizations with this tax ID 5

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1309219200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1309219200000",
    "number": "1679869697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6501 CITY WEST PKWY",
            "city": "EDEN PRAIRIE",
            "state": "MN",
            "postal_code": "553443248",
            "telephone_number": "952-653-2525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4622 40TH AVE S",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581044394",
            "telephone_number": "701-232-6211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HANS BJELLUM, MD, PC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "HANS BJELLUM, MD, PC",
        "enumeration_date": "2011-06-28",
        "last_updated": "2011-06-28",
        "status": "A",
        "authorized_official_last_name": "BJELLUM",
        "authorized_official_first_name": "HANS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "701-232-6211",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "332900000X",
            "taxonomy_group": "",
            "desc": "Non-Pharmacy Dispensing Site",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "7 Day Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fargo, ND

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2011; 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.