BAHRAM NICO (NPI# 1821054347) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1821054347 |
Entity Type | Individual |
Full Name | BAHRAM NICO |
Other Name | BAHRAM A KORDLAR |
Credential | M.D. |
Practice Address |
20 Burdick Expy W Minot ND 58701-4498 |
Mailing Address |
Po Box 5010 Minot ND 58702-5010 |
Practice Telephone | 7018575421 |
Practice Fax Number | 7018575427 |
Mailing Telephone | 7018575650 |
Mailing Fax Number | 7018575031 |
Enumeration Date | 2006-04-24 |
Last Update Date | 2017-06-26 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
11161 | ND | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
ND | 1454815 | 05 |
Street Address |
20 BURDICK EXPY W |
City | MINOT |
State | ND |
Zip Code | 58701-4498 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1952748923 | Ashley N Wallner | Nurse Practitioner | 20 Burdick Expy W, Minot, ND 58701-4498 | 2013-05-30 |
1346501046 | Durand S Jones | Nurse Practitioner | 20 Burdick Expy W, Minot, ND 58701-4498 | 2012-05-30 |
1992093983 | Rosina Bautista Medel | Psychiatry & Neurology | 20 Burdick Expy W, Minot, ND 58701-4498 | 2011-07-12 |
1295968022 | Allison R Auch | Nurse Practitioner | 20 Burdick Expy W, Minot, ND 58701-4498 | 2009-08-27 |
1427246040 | Roland Edward Schell | Pharmacist | 20 Burdick Expy W, Minot, ND 58701-4498 | 2007-10-09 |
1962629006 | Ann Marie Hoff | Emergency Medicine | 20 Burdick Expy W, Minot, ND 58701-4498 | 2007-04-19 |
1720204951 | Carol Ann Knorr | Pharmacist | 20 Burdick Expy W, Minot, ND 58701-4498 | 2007-04-17 |
1720112139 | Dr.samir Farah Md,pc | Internal Medicine | 20 Burdick Expy W, Minot, ND 58701-4498 | 2007-03-15 |
1427186766 | Teresa R Berntson Hynson | Pharmacist | 20 Burdick Expy W, Minot, ND 58701-4498 | 2007-02-28 |
1689749764 | Chi Kong Yeung | Urology | 20 Burdick Expy W, Minot, ND 58701-4498 | 2006-11-22 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1538767926 | Minot Commission On Aging, Inc | In Home Supportive Care | 21 1st Avenue Se, Minot, ND 58701 | 2020-10-16 |
1780207647 | Growing Together Inc | Counselor | 515 19 Ave Sw, Minot, ND 58701 | 2020-05-26 |
1144867847 | Sarah Howard | Registered Nurse | 1015 South Broadway, Ste. 2, Minot, ND 58701 | 2019-12-02 |
1962973453 | Julia Irene Lakoduk | Speech-Language Pathologist | Bell Elementary, 5901 Us-52, Minot, ND 58701 | 2018-12-10 |
1073000469 | Goodman Addiction Services | Counselor | 1809 South Broadway Suite S., Minot, ND 58701 | 2018-04-20 |
1811405988 | Mackenzie J Jones Pllc | Chiropractor | 1407 S Broadway Ste 123, Minot, ND 58701 | 2018-01-11 |
1265957617 | Cassandra Czerwonka | Behavioral Analyst | 1408 20th Ave Sw, Suite 7, Minot, ND 58701 | 2017-08-07 |
1689197493 | Rem North Dakota | Intermediate Care Facility, Mentally Retarded | 1905 2nd Street Se, Suite 1a, Minot, ND 58701 | 2017-07-24 |
1558890236 | Timothy J Corrigan | Chiropractor | 1418 S Broadway Ste C, Minot, ND 58701 | 2017-06-07 |
1265826036 | Premier Physical Therapy of North Dakota Pllc | Physical Therapist | 1715 South Broadway, Minot, ND 58701 | 2015-03-19 |
Find all providers in zip 58701 |
Taxonomy Code | 2084N0400X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Psychiatry & Neurology |
Specialization | Neurology |
A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. |
Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1447284500 | Areen T Said | Psychiatry & Neurology | 20 Burdick Expy. E., Minot, ND 58702-4498 | 2006-07-11 |
1992093983 | Rosina Bautista Medel | Psychiatry & Neurology | 20 Burdick Expy W, Minot, ND 58701-4498 | 2011-07-12 |
1437246337 | Kon Hweii Lee | Psychiatry & Neurology | 20 Burdick Expy W, Minot, ND 58701-4498 | 2006-10-10 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1417167628 | Donald Melvin Larson | Psychiatry & Neurology | 2866 Lilac Ln N, Fargo, ND 58102-1703 | 2007-05-23 |
1720095482 | Kevin Michael Faber | Psychiatry & Neurology | 2801 S University Dr, Fargo, ND 58103 | 2006-08-02 |
1932151586 | Ralph Timothy Dunnigan | Psychiatry & Neurology | 401 N 9th St., Bismarck, ND 58501-4520 | 2006-05-16 |
1164473393 | Ralph T. Dunnigan P.C. | Psychiatry & Neurology | 425 E Avenue C, Bismarck, ND 58501-3942 | 2006-05-12 |
1730141466 | Edgardo Abad Crisostomo | Psychiatry & Neurology | 5225 23rd Ave S, Fargo, ND 58104 | 2006-04-06 |
1255337861 | Red River Neurology Clinic | Psychiatry & Neurology | 2812 17th Ave S, Ste D, Grand Forks, ND 58201-4048 | 2005-06-28 |
1437590577 | Alexandra Sequeira | Psychiatry & Neurology | 700 1st Ave S, Fargo, ND 58103-1802 | 2013-07-16 |
1235423393 | Scott M. Belliston | Psychiatry & Neurology | 700 1st Ave S, Fargo, ND 58103-1802 | 2011-06-07 |
1770876815 | Cory Thomas Edwards | Psychiatry & Neurology | 1300 S Columbia Rd, Grand Forks, ND 58201 | 2011-05-23 |
1225358906 | Sunil Anand Mutgi | Psychiatry & Neurology | 5225 23rd Ave S, Fargo, ND 58104-7927 | 2010-06-04 |
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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.