BRITTANY AZURE BEARSTAIL (NPI# 1144604158) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144604158 |
| Entity Type | Individual |
| Full Name | BRITTANY AZURE BEARSTAIL |
| Credential | MD |
| Practice Address |
10 N River Road Fort Yates ND 58537 |
| Mailing Address |
701 E Rosser Ave. Bismark ND 58501-4461 |
| Practice Telephone | 7018543831 |
| Mailing Telephone | 7017519500 |
| Mailing Fax Number | 7017519508 |
| Enumeration Date | 2015-07-20 |
| Last Update Date | 2018-09-27 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | PT15339 | ND | Allopathic & Osteopathic Physicians |
| N | 207Q00000X | Family Medicine | RL13781 | ND | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ND | 12083 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 701 E Rosser Ave., Bismark, ND 585014461 | 7017519500 | 7017519508 |
| Street Address |
10 N RIVER ROAD |
| City | FORT YATES |
| State | ND |
| Zip Code | 58537 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801381355 | Xtal Silk | Licensed Practical Nurse | 10 N River Road, Fort Yates, ND 58538 | 2018-06-27 |
| 1861943979 | Kelsey Mauch | Pharmacist | 10 N River Road, Fort Yates, ND 58538 | 2016-10-24 |
| 1467820118 | Kimberly Hawk Eagle | Licensed Practical Nurse | 10 N River Road, Fort Yates, ND 58538 | 2015-09-11 |
| 1386057800 | Abby Davis | Family Medicine | 10 N River Road, Fort Yates, ND 58538 | 2014-06-03 |
| 1861831877 | Christine E Rosheim | Nurse Practitioner | 10 N River Road, Fort Yates, ND 58538 | 2013-06-24 |
| 1235485426 | Amber Tincher | Family Medicine | 10 N River Road, Fort Yates, ND 58538 | 2012-07-25 |
| 1588826648 | Darian Richard Schaubert | Dietitian, Registered | 10 N River Road, Fort Yates, ND 58538 | 2008-06-30 |
| 1346388915 | Michael A Candreva | Optometrist | 10 N River Road, Fort Yates, ND 58538 | 2007-02-03 |
| 1861557977 | Penny Marie Wilkie | Family Medicine | 10 N River Road, Fort Yates, ND 58538 | 2006-12-27 |
| 1114085727 | Callie C Baker | Registered Nurse | 10 N River Road, Fort Yates, ND 58538 | 2006-12-05 |
| Find all providers in the same location | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861827743 | Standing Rock Sioux Tribe | Family Medicine | 139 Proposal Ave, Standing Rock Sioux Tribe, Fort Yates, ND 58538 | 2013-09-10 |
| 1386057800 | Abby Davis | Family Medicine | 10 N River Road, Fort Yates, ND 58538 | 2014-06-03 |
| 1235485426 | Amber Tincher | Family Medicine | 10 N River Road, Fort Yates, ND 58538 | 2012-07-25 |
| 1336428655 | Tuyet Ngoc Luu | Family Medicine | 10 North River Road, Fort Yates, ND 58538 | 2011-08-04 |
| 1861557977 | Penny Marie Wilkie | Family Medicine | 10 N River Road, Fort Yates, ND 58538 | 2006-12-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679068035 | Rory Ratzlaff | Family Medicine | Sanford Health 737 Broadway N, Fargo, ND 58122-0001 | 2018-06-28 |
| 1710472725 | Shabnum Gupta | Family Medicine | Sanford Health 801 Broadway North, Fargo, ND 58122-0170 | 2018-06-22 |
| 1538661384 | Community Uplift Program | Family Medicine | 417 Main Ave Ste 401, Fargo, ND 58103-1956 | 2018-03-07 |
| 1134578537 | Nicole Samson | Family Medicine | 1001 7th Street Ne - Altru Clinic/devils Lake, Devils Lake, ND 58301-2719 | 2016-06-07 |
| 1508241183 | Edith Wong | Family Medicine | 701 E Rosser Ave., Bismarck, ND 58501-4461 | 2015-07-24 |
| 1417343831 | Ashley Lynn Loughner | Family Medicine | 194 Missle Ave, 5 Mdg, Minot Afb, ND 58705-5024 | 2015-04-13 |
| 1821404260 | Rachel Wanzek | Family Medicine | 300 2nd Ave Ne Ste 212, Jamestown, ND 58401-3377 | 2014-07-07 |
| 1215341417 | Benjamin H Roth | Family Medicine | 860 South Columbia Road, Grand Forks, ND 58201 | 2014-06-16 |
| 1982031746 | Turtle Mountain Family Medicine, LLC | Family Medicine | 115 Main Street Ne, Dunseith, ND 58329 | 2013-10-10 |
| 1861828212 | Viscito Family Medicine, Pllc | Family Medicine | 2750 S 26th St, Suite C, Grand Forks, ND 58201-6432 | 2013-09-17 |
| Find all providers with the same taxonomy | ||||
| City | FORT YATES |
| Zip Code | 58537 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.