BRIGHTSIDE SURGICAL, LLC (NPI# 1962059915) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962059915 |
| Entity Type | Organization |
| Organization Name | BRIGHTSIDE SURGICAL, LLC |
| Practice Address |
401 N 9th St Bismarck ND 58501-4530 |
| Practice Telephone | 7014719327 |
| Mailing Telephone | 7014719327 |
| Enumeration Date | 2019-08-23 |
| Last Update Date | 2020-06-22 |
| Authorized Official Name | ROBERT WINANDY (CHEIF OPERATING OFFICER) |
| Authorized Official Telephone | 7014719327 |
| Authorized Official Credential | RN, MSN, MBA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208600000X | Surgery | Allopathic & Osteopathic Physicians |
| Street Address |
401 N 9TH ST |
| City | BISMARCK |
| State | ND |
| Zip Code | 58501-4530 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235124934 | Stewart A. Sharp | Specialist | 401 N 9th St, Bismarck, ND 58501-4506 | 2005-09-19 |
| 1346856002 | Stephanie L Jensen | Dietitian, Registered | 401 N 9th St, Bismarck, ND 58501-4506 | 2020-09-18 |
| 1447897897 | 701 Anesthesia Associates, Pllc | Nurse Anesthetist, Certified Registered | 401 N 9th St, Bismarck, ND 58501-4530 | 2019-12-04 |
| 1629541172 | Evolve Dermatology | Nurse Practitioner | 401 N 9th St, Bismarck, ND 58501-4530 | 2019-01-08 |
| 1770029613 | Heritage Pharmacy East Inc | Pharmacy | 401 N 9th St, Bismarck, ND 58501-4530 | 2017-01-17 |
| 1497205876 | Sommer Fields | Physician Assistant | 401 N 9th St, Bismarck, ND 58501-4530 | 2016-10-10 |
| 1902257454 | Jenny Schmidt | Dietitian, Registered | 401 N 9th St, Bismarck, ND 58501-4530 | 2016-06-27 |
| 1659776805 | Laura Frances Roemmich | Physician Assistant | 401 N 9th St, Bismarck, ND 58501-4530 | 2014-10-30 |
| 1568877827 | Eric J Lutzwick | Nurse Practitioner | 401 N 9th St, Bismarck, ND 58501-4530 | 2014-06-25 |
| 1881014843 | Vanessa Gallegos-kearin | Physical Medicine & Rehabilitation | 401 N 9th St, Bismarck, ND 58501-4506 | 2014-04-17 |
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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 |
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| Taxonomy Code | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| 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 Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295938413 | Brandon Marshall Helbling | Surgery | 401 Nth 9th St, Bismarck, ND 58504-4507 | 2007-06-06 |
| 1699189787 | Benjamin Axtman | Surgery | 222 N 7th St, Bismarck, ND 58501-4436 | 2014-06-17 |
| 1679912133 | Rebecca Holly Swenson | Surgery | 401 N 9th St, Bismarck, ND 58501 | 2013-06-18 |
| 1043577729 | Michael Brandon Huck | Surgery | 222 N 7th St, Bismarck, ND 58501 | 2012-04-18 |
| 1043505654 | Joshua John Knudson | Surgery | 222 N 7th St, Bismarck, ND 58501-4436 | 2011-06-10 |
| 1801058383 | Bree December Dewing | Surgery | 222 N 7th St, Bismarck, ND 58501-4436 | 2008-06-26 |
| 1508942897 | Derek Douglas Kane | Surgery | 401 N 9th St, Bismarck, ND 58501-4530 | 2006-10-29 |
| 1578662482 | Jeanette M Viney | Surgery | 222 N 7th St, Bismarck, ND 58501-4436 | 2006-09-21 |
| 1477597516 | Steven R Johnson | Surgery | 401 N 9th St, Bismarck, ND 58501-4507 | 2006-06-16 |
| 1063469336 | Steven K Hamar | Surgery | 401 N 9th St, Bismarck, ND 58501-4507 | 2006-05-30 |
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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.