BRYAN O PHILLIPS (NPI# 1568983922) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568983922 |
| Entity Type | Individual |
| Full Name | BRYAN O PHILLIPS |
| Credential | PA-C |
| Practice Address |
400 Burdick Expy E Minot ND 58701-4768 |
| Mailing Address |
Po Box 5010 Minot ND 58702-5010 |
| Practice Telephone | 7018577930 |
| Practice Fax Number | 7018577998 |
| Mailing Telephone | 7018575650 |
| Mailing Fax Number | 7018575031 |
| Enumeration Date | 2017-07-06 |
| Last Update Date | 2017-07-06 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629076278 | Bryan L Phillips | Pediatrics | 1600 Nw South Outer Rd, Blue Springs, MO 64015-2963 | 2005-07-08 |
| 1114923497 | Bryan J Phillips | Ophthalmology | 718 S Weber Road, Bolingbrook, IL 60490 | 2005-06-22 |
| 1083095608 | Bryan Michael Phillips | Massage Therapist | 1565 Saxon Blvd, Ste 301, Deltona, FL 32725-5876 | 2015-06-10 |
| 1205900065 | Bryan Robert Phillips | Physical Therapist | 1650 Lead Hill Blvd, 300, Roseville, CA 95661-3061 | 2006-11-20 |
| 1396826624 | Bryan R Phillips | Counselor | 2411 Martin Luther King Blvd, Eugene, OR 97401 | 2006-10-17 |
| 1962459255 | Bryan S Phillips | Social Worker | 560 Meyerland Plaza Mall, Houston, TX 77096-1615 | 2006-05-30 |
| Street Address |
400 BURDICK EXPY E |
| City | MINOT |
| State | ND |
| Zip Code | 58701-4768 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649261256 | Ira Paul Michaelson | Internal Medicine | 400 Burdick Expy E, Minot, ND 58701-4768 | 2005-11-02 |
| 1336755727 | Kallie Nicole Goodman | Family Medicine | 400 Burdick Expy E, Minot, ND 58701-4768 | 2020-09-21 |
| 1295352029 | Patti Jo Hagerott | Nurse Practitioner | 400 Burdick Expy E, Minot, ND 58701-4768 | 2020-06-27 |
| 1194369009 | Kayla Lee Bubach | Nurse Practitioner | 400 Burdick Expy E, Minot, ND 58701-4768 | 2019-11-04 |
| 1801439633 | Jodee Richeson | Pharmacist | 400 Burdick Expy E, Minot, ND 58701-4768 | 2019-10-24 |
| 1093377301 | Angela Joy Heintz | Nurse Practitioner | 400 Burdick Expy E, Minot, ND 58701-4768 | 2019-07-08 |
| 1679045330 | Nicole Lynn Gress | Advanced Practice Midwife | 400 Burdick Expy E, Minot, ND 58701-4768 | 2018-12-19 |
| 1417465444 | Natasha Shipman | Nurse Practitioner | 400 Burdick Expy E, Minot, ND 58701-4768 | 2018-01-11 |
| 1396257986 | Shannon Stremick | Nurse Practitioner | 400 Burdick Expy E, Minot, ND 58701-4768 | 2017-11-03 |
| 1639691975 | Fariha Saleem | Family Medicine | 400 Burdick Expy E, Minot, ND 58701-4768 | 2017-07-07 |
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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 | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750397063 | Ginger Marie Strand | Physician Assistant | 1500-24th Ave. S.w., Health Center - South Ridge, Minot, ND 58701-6905 | 2006-07-31 |
| 1235746314 | Emi Leigh Binstock | Physician Assistant | 801 21st Ave Se, Minot, ND 58701-6064 | 2020-09-23 |
| 1457979742 | Ashley Jensen | Physician Assistant | 10 Missile Ave, Minot, ND 58705-5003 | 2020-07-13 |
| 1700356730 | Paul Gingrich | Physician Assistant | 10 Missile Ave, Minot, ND 58705-5003 | 2018-12-03 |
| 1447799382 | Mckenzie Olivia Page | Physician Assistant | 801 21st Ave Se, Minot, ND 58701-6064 | 2017-02-13 |
| 1033585401 | Lindsey N Siemens | Physician Assistant | 2111 Landmark Cir, Minot, ND 58703-1967 | 2015-08-19 |
| 1467704486 | Seth G Evert | Physician Assistant | 101 3rd Ave Sw, Minot, ND 58701-3880 | 2012-10-15 |
| 1932450525 | Jaclyn Claire Chase | Physician Assistant | 801 21st Ave Se, Minot, ND 58701-6064 | 2012-09-24 |
| 1932455094 | Lori A. Wolff | Physician Assistant | 2111 Landmark Cir, Minot, ND 58703-1967 | 2012-07-26 |
| 1891053799 | Christine Marie Sauter | Physician Assistant | 1600 2nd Ave Sw, Suite 19, Minot, ND 58701-3459 | 2012-04-27 |
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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.