BRUCE ALLEN GARDNER (NPI# 1508032103) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508032103 |
| Entity Type | Individual |
| Full Name | BRUCE ALLEN GARDNER |
| Credential | M.D. |
| Practice Address |
222 N 7th St Bismarck ND 58501-4436 |
| Practice Telephone | 7013236000 |
| Mailing Telephone | 7013236000 |
| Enumeration Date | 2008-05-02 |
| Last Update Date | 2014-08-27 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
12961 | ND | Allopathic & Osteopathic Physicians |
| N | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
52223 | MN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | ENROLLED | 05 | |
| IA | ENROLLED | 05 | |
| WI | ENROLLED | 05 | |
| ND | 18613 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316107881 | Bruce Jay Gardner II | Family Medicine | 5955 Zeamer Ave, Anchorage, AK 99506-3702 | 2008-06-09 |
| 1194815480 | Bruce Gardner | Family Medicine | 1915 Queen Anne Ave N, Seattle, WA 98109-2549 | 2006-10-15 |
| Street Address |
222 N 7TH ST |
| City | BISMARCK |
| State | ND |
| Zip Code | 58501-4436 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760488746 | Michael E Lebeau | Internal Medicine | 222 N 7th St, Bismarck, ND 58501-4436 | 2005-06-23 |
| 1346847670 | Hannah Rachel Small | Physician Assistant | 222 N 7th St, Bismarck, ND 58501-4436 | 2020-10-09 |
| 1962015578 | Joshua John Hoffman | Nurse Practitioner | 222 N 7th St, Bismarck, ND 58501-4436 | 2020-08-25 |
| 1528683729 | Kathryn Mary Moch | Registered Nurse | 222 N 7th St, Bismarck, ND 58501-4436 | 2020-06-12 |
| 1245877299 | Megan Flath | Nurse Practitioner | 222 N 7th St, Bismarck, ND 58501-4436 | 2019-12-09 |
| 1588207823 | Kayla Marie Cummings | Nurse Practitioner | 222 N 7th St, Bismarck, ND 58501-4436 | 2019-10-18 |
| 1003388638 | Sarah Miller | Nurse Practitioner | 222 N 7th St, Bismarck, ND 58501-4436 | 2018-12-20 |
| 1255827697 | Karim Courtemanche | Urology | 222 N 7th St, Bismarck, ND 58501-4436 | 2018-07-09 |
| 1962997106 | Katherine Michelle Carvell | Nurse Practitioner | 222 N 7th St, Bismarck, ND 58501-4436 | 2018-06-29 |
| 1427551779 | Brittany Hearn | Nurse Practitioner | 222 N 7th St, Bismarck, ND 58501 | 2018-03-13 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811500911 | Sonja Lee Bosch | Counselor | 101 E. Broadway Ave Heartview Foundation, Bismarck, ND 58501 | 2020-08-28 |
| 1649740630 | Stephanie Marie Simburger | Social Worker | 3111 East Broadway Ave, Bismarck, ND 58501 | 2018-12-03 |
| 1679042519 | Prairie Rose Family Dentists | Dentist | 1110 College Dr., Suite 110, Bismark, ND 58501 | 2018-11-21 |
| 1386111276 | Arielle Joy Flynn | Genetic Counselor, MS | 414 N Seventh Street, Bismarck, ND 58501 | 2018-10-29 |
| 1164901799 | Karalee Joy Harper | Counselor | 101 E. Broadway Ave, Bismarck, ND 58501 | 2018-08-14 |
| 1518457811 | Myckenzie Saari | Behavior Technician | 1929 N Washington St., Bismarck, ND 58501 | 2018-05-14 |
| 1831687532 | Jacquelyn Mahoney | Behavioral Analyst | 604 North Ave, Bismarck, ND 58501 | 2018-04-27 |
| 1710403811 | Kayla Marie Watson | Behavior Technician | 1500 E. Capitol Ave, Suite 200, Bismarck, ND 58501 | 2017-08-21 |
| 1306368220 | Scott Vandyke | Occupational Therapist | 300 N. 7th St, Bismarck, ND 58501 | 2017-07-12 |
| 1144670019 | Bismarck Psychological Associates, Pllc | Psychologist | 107 W. Main Ave., Suite 225, Bismarck, ND 58501 | 2016-06-21 |
| Find all providers in zip 58501 | ||||
| Taxonomy Code | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902826340 | Edward F Fogarty | Radiology | 800 Munich Dr, Bismarck, ND 58504-7050 | 2006-07-20 |
| 1962769059 | Luke B Roller | Radiology | 900 E Broadway Ave, Bismarck, ND 58501-4520 | 2012-04-13 |
| 1982983201 | Andrew J Miller | Radiology | 222 N 7th St, Bismarck, ND 58501-4436 | 2011-08-04 |
| 1801110101 | Nicholas Coren Bradbury | Radiology | 310 N 10th St, Bismarck, ND 58501-4516 | 2010-03-16 |
| 1669634184 | Ryan Hegge | Radiology | 222 N 7th St, Bismarck, ND 58501-4436 | 2008-06-26 |
| 1144480971 | Christina Marie Tello-skjerseth | Radiology | 222 N 7th St, Bismarck, ND 58501-4436 | 2008-06-16 |
| 1679746218 | Daniel David Tarver | Radiology | 310 N 10th St, Bismarck, ND 58501-4516 | 2008-04-03 |
| 1346448925 | John Arthur Miller | Radiology | 222 N 7th St, Bismarck, ND 58501-4436 | 2007-07-05 |
| 1902966856 | Paul B Jahn | Radiology | 310 N 10th Street, Bismarck, ND 58501-4516 | 2006-12-11 |
| 1275607509 | Andrew J Wilder | Radiology | 401 N 9th St, Bismarck, ND 58501-4530 | 2006-11-20 |
| Find all providers in BISMARCK | ||||
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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.