Gardner, Bruce Allen

Gardner, Bruce Allen is an individual health care provider with primary practice located at 222 N 7Th St , Bismarck ND 58501-4436. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Gardner, Bruce Allen can be contacted via phone (701) 323-6000.

Contact Information

Primary practice address
222 N 7Th St Bismarck ND 58501-4436
Phone: (701) 323-6000
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 52223 Minnesota
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 12961 North Dakota

Profile Details

NPI number 1508032103
LBN Legal business name Gardner, Bruce Allen
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 2nd, 2008
Last updated Aug 27th, 2014 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1508032103 NPPES
North Dakota MEDICAID 18613
North Dakota MEDICAID ENROLLED
North Dakota MEDICAID ENROLLED
North Dakota MEDICAID ENROLLED

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