1710911185 NPI number — MICHAEL S BRIGGS MD

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1710911185 NPI number — MICHAEL S BRIGGS MD

Employer Identification Number (EIN):

Provider Organization Name:

Provider Last Name:

BRIGGS

Provider First Name:

MICHAEL

Provider Middle Name:

S

Provider Name Prefix Text:

Provider Name Suffix Text:

Provider Credential Text:

MD

Provider Gender Code:

M

Provider Other Organization Name:

Provider Other Organization Name Type Code:

Provider Other Last Name:

Provider Other First Name:

Provider Other Middle Name:

Provider Other Name Prefix Text:

Provider Other Name Suffix Text:

Provider Other Credential Text:

Provider Other Last Name Type Code:

NPI Number:

1710911185

Entity Type Code:

Individual

Replacement NPI:

Last Update Date:

08/29/2011

NPI Deactivation Reason Code:

NPI Deactivation Date:

NPI Reactivation Date:

Provider First Line Business Mailing Address:

PO BOX 6001

Provider Second Line Business Mailing Address:

Provider Business Mailing Address City Name:

FARGO

Provider Business Mailing Address State Name:

ND

Provider Business Mailing Address Postal Code:

58108-6001

Provider Business Mailing Address Country Code:

US

Provider Business Mailing Address Telephone Number:

701-364-3300

Provider Business Mailing Address Fax Number:

701-364-8906

Provider First Line Business Practice Location Address:

3000 32ND AVE S

Provider Second Line Business Practice Location Address:

Provider Business Practice Location Address City Name:

FARGO

Provider Business Practice Location Address State Name:

ND

Provider Business Practice Location Address Postal Code:

58103-6132

Provider Business Practice Location Address Country Code:

US

Provider Business Practice Location Address Telephone Number:

701-364-8000

Provider Business Practice Location Address Fax Number:

701-364-8078

Provider Enumeration Date:

07/10/2006

Authorized Official Last Name:

Authorized Official First Name:

Authorized Official Middle Name:

Authorized Official Title or Position:

Authorized Official Telephone Number:

• Taxonomy code: 207RP1001X , with the licence number:  6435 , registered in the state of ND ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

• Identifier: 142307 . This is a "UCARE #" identifier , issued by the state of ( ND ) . This identifiers is of the category "OTHER".
• Identifier: 17236 , issued by the state of ( ND ) . This identifiers is of the category "MEDICAID".
• Identifier: 4800133 . This is a "MEDICA #" identifier , issued by the state of ( ND ) . This identifiers is of the category "OTHER".
• Identifier: 15637 . This is a "SIOUX VALLEY #" identifier , issued by the state of ( ND ) . This identifiers is of the category "OTHER".
• Identifier: HP25715 . This is a "HEALTHPARTNERS #" identifier , issued by the state of ( ND ) . This identifiers is of the category "OTHER".
• Identifier: 431067500 , issued by the state of ( ND ) . This identifiers is of the category "MEDICAID".
• Identifier: 1M632BR . This is a "MNBS #" identifier , issued by the state of ( ND ) . This identifiers is of the category "OTHER".
• Identifier: 4859 . This is a "NDBS #" identifier , issued by the state of ( ND ) . This identifiers is of the category "OTHER".
• Identifier: 900335 . This is a "AMERICA'S PPO/ARAZ #" identifier , issued by the state of ( ND ) . This identifiers is of the category "OTHER".
• Identifier: DA9011015511 . This is a "PREFERRED ONE #" identifier , issued by the state of ( ND ) . This identifiers is of the category "OTHER".
• Identifier: ND200004 . This is a "LHS #" identifier , issued by the state of ( ND ) . This identifiers is of the category "OTHER".
• Identifier: 4800138 . This is a "MEDICA #" identifier , issued by the state of ( ND ) . This identifiers is of the category "OTHER".