Active NPI
Diane C Bigham, D.O.
- Urology Physician
- Minot, ND
National Provider Identifier
1972561108
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urology Physician
- License
- 14002
- Practice address
- 2305 37TH Ave SW
Minot, ND 58701-7669 - Phone
- (701) 857-5000
- NPI assigned
- May 4, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Urology Physician | 208800000X | 5101014782 | MI | |
| Urology Physician | 208800000X | LT14002 | ND | |
| Urology Physician | 208800000X | 14002 | ND | Primary |
Addresses
Primary practice location
2305 37TH Ave SW
Minot, ND 58701-7669
Mailing address
PO Box 5010
Minot, ND 58702-5010
Phone (701) 857-5650
Other practice location 1
400 Burdick Expy E
Minot, ND 58701-4768
Phone (701) 857-7396
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 Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5101014782 | MI | MD | Urology Physician |
| 14002 | ND | MD | Urology Physician |
| LT14002 | ND | MD | Urology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Michigan Urological Clinic | Urology | Past | Accepting new patients |
Interoperability endpoints
- https://app.meldrx.com/api/fhir/uc29598_michiganurologicalclinic
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.
-
- Urology Physician
- Grand Rapids, MI
- NPI 1376586164
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": "1703030400000",
"number": "1972561108",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 5010",
"city": "MINOT",
"state": "ND",
"postal_code": "587025010",
"telephone_number": "701-857-5650",
"fax_number": "701-857-5031"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2305 37TH AVE SW",
"city": "MINOT",
"state": "ND",
"postal_code": "587017669",
"telephone_number": "701-857-5000"
}
],
"practiceLocations": [
{
"address_1": "400 Burdick Expy E",
"address_purpose": "LOCATION",
"city": "Minot",
"state": "ND",
"postal_code": "587014768",
"country_code": "US",
"telephone_number": "701-857-7396",
"fax_number": "701-857-7345",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BIGHAM",
"first_name": "DIANE",
"middle_name": "C",
"credential": "D.O.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-05-04",
"last_updated": "2023-12-20",
"certification_date": "2023-12-20",
"status": "A"
},
"taxonomies": [
{
"code": "208800000X",
"taxonomy_group": "",
"desc": "Urology",
"state": "MI",
"license": "5101014782",
"primary": false
},
{
"code": "208800000X",
"taxonomy_group": "",
"desc": "Urology",
"state": "ND",
"license": "LT14002",
"primary": false
},
{
"code": "208800000X",
"taxonomy_group": "",
"desc": "Urology",
"state": "ND",
"license": "14002",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Minot, ND
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.