Jeffrey Scott Bjerke, ATC

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

183-98 Issued in ND

Practice address

1300 S Columbia Rd
Grand Forks, ND 58201-4012

Phone

(701) 780-6584

Fax

(701) 780-6008

NPI assigned

May 22, 2007

Last updated

Jul 8, 2007By 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 2

Addresses

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": "1179792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1962611913",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1905 22ND AVE S",
            "city": "GRAND FORKS",
            "state": "ND",
            "postal_code": "582016210",
            "telephone_number": "701-780-9125",
            "fax_number": "701-780-6088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 S COLUMBIA RD",
            "city": "GRAND FORKS",
            "state": "ND",
            "postal_code": "582014012",
            "telephone_number": "701-780-6584",
            "fax_number": "701-780-6008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BJERKE",
        "first_name": "JEFFREY",
        "middle_name": "SCOTT",
        "name_prefix": "Mr.",
        "credential": "ATC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-22",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "ND",
            "license": "183-98",
            "primary": true
        },
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "MN",
            "license": "1616",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• George Birkmaier
• Kelly L Bishop-Diaz, PH.D.
• Robert Bishop
• Mohamad Zouheir Bitar, MD
• Michael Bitzan
• Sara Elizabeth Bjerke, ATC
• Barry A Bjorgaard, MD
• Tara L Bjugstad, MOTRL
• Leah Bjur
• Ashley Black, PA-C

• Athletic Trainer in Grand Forks, ND
• Providers in Grand Forks, ND by specialty
• Athletic Trainer in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.