Jody Berquist, DVM

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

00698 Issued in MN

Practice address

1724 Minnesota Ave
Duluth, MN 55802-2434

Phone

(218) 590-6827

NPI assigned

Sep 9, 2021

Last updated

Sep 9, 2021By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1631145600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631145600000",
    "number": "1780353136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1724 MINNESOTA AVE",
            "city": "DULUTH",
            "state": "MN",
            "postal_code": "558022434",
            "telephone_number": "218-590-6827"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1724 MINNESOTA AVE",
            "city": "DULUTH",
            "state": "MN",
            "postal_code": "558022434",
            "telephone_number": "218-590-6827"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERQUIST",
        "first_name": "JODY",
        "name_prefix": "Dr.",
        "credential": "DVM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-09-09",
        "last_updated": "2021-09-09",
        "certification_date": "2021-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "MN",
            "license": "00698",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WISCONSIN VETERINARY EXAMINING BOARD",
            "identifier": "407931",
            "state": "WI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MINNESOTA VETERINARY MEDICINE LICENSING BOARD",
            "identifier": "00698",
            "state": "MN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "68.112.161.162",
            "affiliation": "N",
            "address_1": "1724 Minnesota Ave",
            "city": "Duluth",
            "state": "MN",
            "country_code": "US",
            "postal_code": "558022434",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Kimberly Rae Bernacki, RN
• Jonathon Berndt, LMT
• Gregory K Bernhardt, MD
• Brooke Deanna Bernu, PHARMD
• James Thomas Berquist
• Bryan P Berry, M.D.
• Mark G Berry, D.O.
• Jena Kay Berryman Ogston
• Peggy J Bertel, CRNA
• Juliana Francine Bertelsen, L.M.T.

• General Practice Physician in Duluth, MN
• Providers in Duluth, MN by specialty
• General Practice Physician in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2021; 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.