Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208G00000X | Cardiothoracic Vascular Surgeon | 5985 | ND |
NPI | 1144250226 |
---|---|
Provider Name | Barry A Bjorgaard |
First Address | Grand Forks, ND 58201 |
Second Address | Grand Forks, ND 58201 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 04/07/2006 |
Last Update Date | 07/03/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
073423300 | (05) | ND |
1344499 | AMERICA'S PPO/ARAZ # (01) | ND |
141996 | UCARE # (01) | ND |
16507 | (05) | ND |
1800056 | MEDICA # (01) | ND |
1800063 | MEDICA # (01) | ND |
20689 | NDBS # (01) | ND |
43G81BJ | MNBS # (01) | ND |
DA9011028035 | PREFERRED ONE # (01) | ND |
E78896 | (02) | ND |
ND200214 | LHS # (01) | ND |