BRUCE L CARLSON


Address: 101 E Broadway Ave, Bismarck, ND 58501
Phone: 7012220386

BRUCE L CARLSON (NPI# 1508912288) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1508912288
Entity Type Individual
Full Name BRUCE L CARLSON
Credential LAC
Practice Address 101 E Broadway Ave
Bismarck
ND 58501
Practice Telephone 7012220386
Mailing Telephone 7012220386
Enumeration Date 2007-01-26
Last Update Date 2007-07-08
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YA0400X Counselor
Specialization: Addiction (Substance Use Disorder)
1279 ND Behavioral Health & Social Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
ND BLUE CROSS BLUE SHIELD 25264 01

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1891867024 Bruce Alan Carlson Dentist 267 Main St, Lansing, IA 52151 2006-11-14
1578522108 Bruce K Carlson Dentist 1875 Dempster St, Suite 495, Park Ridge, IL 60068-1186 2006-03-22
1700877396 Bruce A Carlson Family Medicine 1501 Thompson St, Bloomer, WI 54724-1257 2005-11-02
1386635449 Bruce E Carlson Internal Medicine 22n285 Pepper Rd, 407, Lake Barrington, IL 60010-5982 2005-10-28

Office Location

Street Address 101 E BROADWAY AVE
City BISMARCK
State ND
Zip Code 58501

Providers in the same location

NPI Name Taxonomy Address Enumeration
1417562265 Michelle Dion Sanders Counselor 101 E Broadway Ave, Bismarck, ND 58501 2020-09-09
1598223232 Layn Larae Sabot Counselor 101 E Broadway Ave, Bismarck, ND 58501 2019-03-12
1255897278 Crystal Day Askvig Counselor 101 E Broadway Ave, Bismarck, ND 58501 2019-02-14
1457822686 Kelsey Amelia Labere Counselor 101 E Broadway Ave, Bismarck, ND 58501 2018-12-16
1295254522 Lisa Carolyn Roth Counselor 101 E Broadway Ave, Bismarck, ND 58501-3840 2017-09-19
1467819664 Tracy Ochsner Substance Abuse Rehabilitation Facility 101 E Broadway Ave, Bismarck, ND 58501-3840 2016-01-20
1578975173 Karissa Marie Kautzman Counselor 101 E Broadway Ave, Bismarck, ND 58501 2014-05-30
1083827125 Claudia L Ziegler Counselor 101 E Broadway Ave, Heartview Foundation, Bismarck, ND 58501 2007-05-07
1619019585 Darcy Caleb Olson Counselor 101 E Broadway Ave, Bismarck, ND 58501-3840 2007-02-13
1922152560 Marlin J E Johnson Internal Medicine 101 E Broadway Ave, Heartview Foundation, Bismarck, ND 58501 2007-01-22
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Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 101YA0400X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Addiction (Substance Use Disorder)

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1811500911 Sonja Lee Bosch Counselor 101 E. Broadway Ave Heartview Foundation, Bismarck, ND 58501 2020-08-28
1477112399 Rb Counseling Service LLC Counselor 433 E Bismarck Expy Ste 3, Bismarck, ND 58504-6500 2019-06-13
1164901799 Karalee Joy Harper Counselor 101 E. Broadway Ave, Bismarck, ND 58501 2018-08-14
1821508698 Calie Brown Counselor 107 W Main Ave Ste 350, Bismarck, ND 58501-3893 2017-10-06
1104347137 Adapt, Inc. Counselor 1720 Burnt Boat Drive, Suite 108, Bismarck, ND 58503 2017-06-29
1699123117 Dakota Institute of Trauma Therapy Counselor 4023 State St # 120, Bismarck, ND 58503-0690 2016-05-25
1811239106 Roger Morris Peet Counselor 101 E. Broadway Ave., Bismarck, ND 58501 2013-03-25
1447598446 Marjean L. Schwehr Counselor 101 East Broadway Avenue, Bismarck, ND 58501 2013-01-25
1922231950 James Anthony Knopik Counselor 905 East Interstate Ave., New Freedom Center, Inc., Bismarck, ND 58503 2009-08-25
1093906414 Lynette Adele Rasmusson Counselor 1720 Burnt Boat Dr, Suite 200, Bismarck, ND 58503-0801 2007-08-09
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Competitor

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City BISMARCK
Zip Code 58501

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Dataset Information

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.

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