| Biron D. Baker Family Medicine, P.c. | |
|
4401 Coleman St Ste 107 Bismarck ND 58503-1371 | |
| (701) 751-4390 | |
| (701) 751-4332 |
| Full Name | Biron D. Baker Family Medicine, P.c. |
|---|---|
| Speciality | Family Medicine |
| Location | 4401 Coleman St Ste 107, Bismarck, North Dakota |
| Authorized Official Name and Position | Ronald J Piatz (OFFICE MANAGER) |
| Authorized Official Contact | 7017514340 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Biron D. Baker Family Medicine, P.c. 4401 Coleman St Ste 107 Bismarck ND 58503-1371 Ph: (701) 751-4340 | Biron D. Baker Family Medicine, P.c. 4401 Coleman St Ste 107 Bismarck ND 58503-1371 Ph: (701) 751-4390 |
| NPI Number | 1326330887 |
|---|---|
| Provider Enumeration Date | 05/03/2011 |
| Last Update Date | 11/28/2018 |
| Medicare PECOS PAC ID | 5991973018 |
|---|---|
| Medicare Enrollment ID | O20110715000463 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326330887 | NPI | - | NPPES |
| 15723 | Medicaid | ND |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 7534 (North Dakota) | Primary |
| 363LF0000X | Nurse Practitioner - Family | R29280 (North Dakota) | Secondary |
| Provider Name | Biron D Baker |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1124081658 PECOS PAC ID: 9234035114 Enrollment ID: I20031210001116 |
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