NPIMap

Organization Active NPI

Hans Bjellum MD PC

  • General Practice Physician
  • Fargo, ND
National Provider Identifier
1972769826
Registry record updated Jul 30, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
41143 Issued in MN
Legal business name
HANS BJELLUM MD PC
Practice address
1517 32ND Ave S
Fargo, ND 58103-5905
Phone
(701) 232-6211
Fax
(701) 364-9346
NPI assigned
Jul 30, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2008

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

Authorized official

Name
Hans Bjellum, MD
Title
Owner
Phone
(320) 815-7555

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208D00000X 41143 MN Primary

Addresses

Primary practice location

1517 32ND Ave S
Fargo, ND 58103-5905

Mailing address

4622 40TH Ave S
Fargo, ND 58104-4394
Phone (701) 232-6211

National Provider Directory

National Provider Directory
Tax ID family
7 Day Clinic6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

Organizations that report the same tax identification number in the National Provider Directory.

Locations

4622 40th Ave S
Fargo, ND 58104
Phone (701) 232-6211

NPI Registry JSON

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

{
    "created_epoch": "1217376000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1217376000000",
    "number": "1972769826",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4622 40TH AVE S",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581044394",
            "telephone_number": "701-232-6211",
            "fax_number": "701-364-9346"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1517 32ND AVE S",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581035905",
            "telephone_number": "701-232-6211",
            "fax_number": "701-364-9346"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HANS BJELLUM MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-30",
        "last_updated": "2008-07-30",
        "status": "A",
        "authorized_official_last_name": "BJELLUM",
        "authorized_official_first_name": "HANS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "320-815-7555",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": "MN",
            "license": "41143",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fargo, ND

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2008; 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.