Hilton J Bakker, MD
Individual provider Active NPI Diagnostic Radiology Physician · Bemidji, MN
NPI 1992745533 · NPPES record last updated Mar 16, 2018
Key facts
- NPI
- 1992745533
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Diagnostic Radiology Physician 2085R0202X
- License
- 6047 (ND)
- Practice address
- 4810 Wolf Creek Rd NE
Bemidji, MN 56601-7990 - Phone
- (218) 586-2130
- Fax
- (218) 586-2165
- NPI assigned
- Jun 8, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- HHS exclusion list flag
- The National Provider Directory flags this NPI as appearing on an HHS exclusion list.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6047 | ND | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Red Lake Comprehensive Health Services | Past |
Accepting new patients | |
| Mid Dakota Clinic, Inc. | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 33729 | MN | |
| Diagnostic Radiology Physician | 2085R0202X | 6047 | ND | Yes |
Addresses
Primary practice location
4810 Wolf Creek Rd NE
Bemidji, MN 56601-7990
Mailing address
5050 Wolf Creek Rd NE
Bemidji, MN 56601-7990
Phone (218) 586-2513
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 355505400 | Medicaid | MN |
Other providers in Bemidji, MN
- Bonnie Margaret Bailey
- Prabhdeep Kaur Bajwa
- Baker Park
- Sarah Lee Baker
- Jonetta H Bakke
- Balanced Counseling and Consulting PLLC
- Taci Ball
- Gina Suzanne Ballard-Schmunk
- Roxanne Faye Banks
- Emily Celeste Barbot
All providers in Bemidji, MN · Diagnostic Radiology Physician in Minnesota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 16, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.