BRIAN JEFFERSON DAWSON (NPI# 1871540435) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871540435 |
| Entity Type | Individual |
| Full Name | BRIAN JEFFERSON DAWSON |
| Credential | MD |
| Practice Address |
3345 39th St S Ste 2 Fargo ND 58104 |
| Mailing Address |
505 S 336th St Suite 600 Federal Way WA 98003-6328 |
| Practice Telephone | 5092221275 |
| Practice Fax Number | 5094913031 |
| Mailing Telephone | 2538386180 |
| Mailing Fax Number | 2538386418 |
| Enumeration Date | 2006-05-28 |
| Last Update Date | 2020-06-16 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207P00000X | Emergency Medicine | PT15145 | ND | Allopathic & Osteopathic Physicians |
| N | 207P00000X | Emergency Medicine | MD00042009 | WA | Allopathic & Osteopathic Physicians |
| Y | 207RA0401X |
Internal Medicine Specialization: Addiction Medicine |
PT15145 | ND | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | BSWA | 3074DA | 01 |
| WA | LIWA | 0202684 | 01 |
| WA | 8352197 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063763522 | Brian Dawson | Podiatrist | 74 Amsterdam Rd, Smithtown, NY 11787-3122 | 2012-09-25 |
| 1124176508 | Brian Wade Dawson | Social Worker | 5150 Lake Grove Dr, White Lake, MI 48383-1452 | 2007-01-08 |
| 1730725524 | Brian Dawson | Counselor | 671 Hoes Ln W, Piscataway, NJ 08854-8021 | 2019-11-27 |
| 1588100895 | Brian Dawson II | Community/Behavioral Health | 1140 Shirley Rd, Bunkie, LA 71322-1545 | 2017-01-10 |
| 1134328776 | Brian Christopher Dawson | Emergency Medicine | 16000 Johnston Memorial Dr, Abingdon, VA 24211-7659 | 2007-07-13 |
| 1265464960 | Brian C Dawson | Family Medicine | 984 Medical Dr Ste 1, Brigham City, UT 84302-4712 | 2006-07-06 |
| 1811985393 | Brian Dawson | Chiropractor | 131 N Garden Ave, Suite 100, Clearwater, FL 33755-4119 | 2005-10-10 |
| Street Address |
3345 39TH ST S STE 2 |
| City | FARGO |
| State | ND |
| Zip Code | 58104 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083143580 | Ashley Tebay | Nurse Practitioner | 3345 39th St S Ste 2, Fargo, ND 58104 | 2017-06-08 |
| 1538538707 | Jaclyn Susan Roers Kassen | Nurse Practitioner | 3345 39th St S Ste 2, Fargo, ND 58104 | 2015-09-17 |
| 1629323605 | Carissa R Cornell | Nurse Practitioner | 3345 39th St S Ste 2, Fargo, ND 58104 | 2012-07-17 |
| 1487754487 | Jane Louise Sveen | Physician Assistant | 3345 39th St S Ste 2, Fargo, ND 58104 | 2006-09-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043837347 | Pinnacle Therapy & Wellness, Pllc | Physical Therapist | 4500 36th Ave S Suite 100, Fargo, ND 58104 | 2020-07-02 |
| 1619509858 | Patricia Helen Bathie | Counselor | 4243 Auburn Ave., Fargo, ND 58104 | 2020-02-05 |
| 1346892866 | Elizabeth Olis | Registered Nurse | 2633 55th St. S, Apartment 202, Fargo, ND 58104 | 2019-07-15 |
| 1780247023 | Keith Kirimi Ndege | Physical Therapy Assistant | 5225 23rd Ave South, Fargo, ND 58104 | 2019-04-22 |
| 1346728557 | Ms4 Pllc | Pharmacy | 4476 31st Avenue South, Suite #105, Fargo, ND 58104 | 2018-07-31 |
| 1891286977 | Jessica Rae Majidian | Dentist | 3030 49th St S, Fargo, ND 58104 | 2018-05-23 |
| 1821588500 | Alissa Nichole Larson | Pharmacist | 5675 26th Ave S St. 136a, Fargo, ND 58104 | 2018-05-17 |
| 1790297430 | Northern Lights Dental | Dentist | 4150 19th Ave S, Suite 301, Fargo, ND 58104 | 2017-11-03 |
| 1619406733 | Cobalt Rehabilitation Hospital Fargo LLC | Rehabilitation Hospital | 4671 38th Street S, Fargo, ND 58104 | 2017-06-12 |
| 1790210318 | Homefield Health, LLC | Clinic/Center | 4141 31st Ave S., Ste 102, Fargo, ND 58104 | 2017-04-21 |
| Find all providers in zip 58104 | ||||
| Taxonomy Code | 207RA0401X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Addiction Medicine |
| An internist doctor of osteopathy that specializes in the treatment of addiction disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine can obtain a Certificate of Added Qualifications in the field of Addiction Medicine. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2007. [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: http://www.osteopathic.org/certification |
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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.