Active NPI
Michael R Bjork, MD
- Emergency Medicine Physician
- Woodland Park, CO
National Provider Identifier
1821046517
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 21503
- Practice address
- 41 State Highway 67
Woodland Park, CO 80863-5008 - Phone
- (719) 776-3216
- Fax
- (719) 776-3187
- NPI assigned
- May 4, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 21503 | CO | Primary |
Addresses
Primary practice location
41 State Highway 67
Woodland Park, CO 80863-5008
Mailing address
PO Box 4337
Woodland Park, CO 80866-4337
Phone (719) 687-3843
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01215037 | Medicaid | CO |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 21503 | CO | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Quantum Plus LLC | Emergency Medicine | Past | Accepting new patients |
| Front Range Emergency Specialists, PC | Emergency Medicine | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146700800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1392681600000",
"number": "1821046517",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 4337",
"city": "WOODLAND PARK",
"state": "CO",
"postal_code": "808664337",
"telephone_number": "719-687-3843"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "41 STATE HIGHWAY 67",
"city": "WOODLAND PARK",
"state": "CO",
"postal_code": "808635008",
"telephone_number": "719-776-3216",
"fax_number": "719-776-3187"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BJORK",
"first_name": "MICHAEL",
"middle_name": "R",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-04",
"last_updated": "2014-02-18",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "CO",
"license": "21503",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01215037",
"state": "CO"
}
],
"endpoints": [],
"other_names": []
}Other providers in Woodland Park, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.