Active NPI
Robert J Roswick, MD
- Family Medicine Physician
- Bismarck, ND
National Provider Identifier
1942240668
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 5204
- Practice address
- 3318 N 14TH St
Bismarck, ND 58503-1614 - Phone
- (701) 323-8300
- Fax
- (701) 323-8875
- NPI assigned
- Jun 8, 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 5204 | ND | Primary |
Addresses
Primary practice location
3318 N 14TH St
Bismarck, ND 58503-1614
Mailing address
401 N 9TH St
Bismarck, ND 58501-4507
Phone (701) 530-6000
Other practice location 1
2700 State St
Bismarck, ND 58503-0669
Phone (701) 530-6000
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 15134 | Medicaid | ND | |
| 080174391 | Other | ND | MEDICARE RAILROAD |
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 |
|---|---|---|---|
| 5204 | ND | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Frances Mahon Deaconess Hospital | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Critical Access Hospital
- Glasgow, MT
- NPI 1689685323
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149724800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1556064000000",
"number": "1942240668",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "401 N 9TH ST",
"city": "BISMARCK",
"state": "ND",
"postal_code": "585014507",
"telephone_number": "701-530-6000",
"fax_number": "701-530-6430"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3318 N 14TH ST",
"city": "BISMARCK",
"state": "ND",
"postal_code": "585031614",
"telephone_number": "701-323-8300",
"fax_number": "701-323-8875"
}
],
"practiceLocations": [
{
"address_1": "2700 State St",
"address_purpose": "LOCATION",
"city": "Bismarck",
"state": "ND",
"postal_code": "585030669",
"country_code": "US",
"telephone_number": "701-530-6000",
"fax_number": "701-530-6430",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ROSWICK",
"first_name": "ROBERT",
"middle_name": "J",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-08",
"last_updated": "2019-04-24",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "ND",
"license": "5204",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "15134",
"state": "ND"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE RAILROAD",
"identifier": "080174391",
"state": "ND"
}
],
"endpoints": [],
"other_names": []
}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 Apr 24, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.