Zachery R Bjore, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

PAC0417 Issued in ND

Practice address

730 Main St E
Mayville, ND 58257-1606

Phone

(701) 786-4500

NPI assigned

Oct 19, 2009

Last updated

Oct 19, 2009By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/18841/brand/1/csg/1/fhir/r4

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.

• Ivinson Memorial Hospital

  • Rural Health Clinic/Center
  • Laramie, WY
  • NPI 1033628599
  Medicare reassignment NPD
• Campbell County Hospital District

  dba Campbell County Medical Group - Internal Medicine Clinic

  • Internal Medicine Physician
  • Gillette, WY
  • NPI 1710098868
  Medicare reassignment
• Summit Medical Group, LLC

  dba Aligned Providers of Wyoming

  • Emergency Medicine Physician
  • Cheyenne, WY
  • NPI 1457802993
  Medicare reassignment
• Campbell County Hospital District

  dba Campbell County Medical Group - Women's Health Clinic

  • Obstetrics & Gynecology Physician
  • Gillette, WY
  • NPI 1578240933
  NPD
• Campbell County Hospital District

  dba Behavioral Health Services

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Gillette, WY
  • NPI 1881730141
  NPD
• Campbell County Hospital District

  dba Campbell County Health

  • Community/Retail Pharmacy
  • Gillette, WY
  • NPI 1992874218
  NPD
• Campbell County Hospital District

  dba The Legacy Living & Rehabilitation Center

  • Skilled Nursing Facility
  • Gillette, WY
  • NPI 1376620989
  NPD (past)
• Platte Valley Clinic Inc.

  • Clinic/Center
  • Saratoga, WY
  • NPI 1629557426
  NPD (past)
• Sanford Clinic North

  dba Sanford Health Broadway Clinic

  • Family Medicine Physician
  • Alexandria, MN
  • NPI 1548532468
  NPD (past)

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

{
    "created_epoch": "1255910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1255910400000",
    "number": "1831425388",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2168",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581072168",
            "telephone_number": "701-786-4500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "730 MAIN ST E",
            "city": "MAYVILLE",
            "state": "ND",
            "postal_code": "582571606",
            "telephone_number": "701-786-4500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BJORE",
        "first_name": "ZACHERY",
        "middle_name": "R",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-10-19",
        "last_updated": "2009-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "ND",
            "license": "PAC0417",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Marcus Randall Aasen
• Rachel Dukart, PT
• Sherree Lee Engen, C.R.N.A.
• Sara Dawn Garrett, COM
• Gary a Matthys MD PLC (Matthys Orthopaedic Center)
• Goose River Dental Assoc., PC

• Medical Physician Assistant in Mayville, ND
• Providers in Mayville, ND by specialty
• Medical Physician Assistant in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.