NPIMap

Organization Active NPI

The Enrichment Garden

  • Hearing and Speech Clinic/Center
  • Bismarck, ND
National Provider Identifier
1730212325
Registry record updated Oct 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hearing and Speech Clinic/CenterTaxonomy code 261QH0700X
Legal business name
THE ENRICHMENT GARDEN
Practice address
1138 N 3Rd St
Bismarck, ND 58501-3556
Phone
(701) 258-1569
Fax
(701) 223-1669
NPI assigned
Mar 13, 2007
Last updated
Oct 30, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2023

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

Authorized official

Name
Thomas Matthew Bry
Title
President
Phone
(701) 258-1569

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Developmental Disabilities Clinic/Center 261QD1600X 376 ND
Hearing and Speech Clinic/Center 261QH0700X Primary

Addresses

Primary practice location

1138 N 3Rd St
Bismarck, ND 58501-3556

Mailing address

PO Box 2536
Bismarck, ND 58502-2536
Phone (701) 258-1569

Other identifiers 11

IdentifierTypeStateIssuer
51207MedicaidND
59160MedicaidND
027311OtherNDBLUE CROSS BLUE SHIELD
7770280MedicaidND
12168OtherNDBLUE CROSS BLUE SHIELD
59243MedicaidND
55053MedicaidND
599001OtherNDBLUE CROSS BLUE SHIELD
027312OtherNDBLUE CROSS BLUE SHIELD
1458770MedicaidND
25799OtherNDBLUE CROSS BLUE SHIELD

Other names 1

  • Children's Development Center Former legal business name

National Provider Directory

National Provider Directory

Locations

1138 N 3rd St
Bismarck, ND 58501
Phone (701) 258-1569

1815 Schafer St
Ste 202
Bismarck, ND 58501
Phone (701) 223-9083

Practitioners & affiliated clinicians

Practitioners 16

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.

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1173744000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1698624000000",
    "number": "1730212325",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2536",
            "city": "BISMARCK",
            "state": "ND",
            "postal_code": "585022536",
            "telephone_number": "701-258-1569",
            "fax_number": "701-223-1669"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1138 N 3RD ST",
            "city": "BISMARCK",
            "state": "ND",
            "postal_code": "585013556",
            "telephone_number": "701-258-1569",
            "fax_number": "701-223-1669"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE ENRICHMENT GARDEN",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-13",
        "last_updated": "2023-10-30",
        "status": "A",
        "authorized_official_last_name": "BRY",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "MATTHEW",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "701-258-1569"
    },
    "taxonomies": [
        {
            "code": "261QD1600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Developmental Disabilities",
            "state": "ND",
            "license": "376",
            "primary": false
        },
        {
            "code": "261QH0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Hearing and Speech",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "51207",
            "state": "ND"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "59160",
            "state": "ND"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "027311",
            "state": "ND"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7770280",
            "state": "ND"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "12168",
            "state": "ND"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "59243",
            "state": "ND"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "55053",
            "state": "ND"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "599001",
            "state": "ND"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "027312",
            "state": "ND"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1458770",
            "state": "ND"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "25799",
            "state": "ND"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Children's Development Center",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Bismarck, ND

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2023; 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.