Bismarck Dermatology Center PC

Dermatology in Bismarck, ND. Organization (NPI-2).

NPI number1265026165

StatusActive

Last updated in NPPESFeb 22, 2021

Details

NPI: 1265026165
Entity type: Organization (NPI-2)
Legal business name: Bismarck Dermatology Center PC
Organization subpart: No
Enumeration date: Feb 22, 2021
Certification date: Feb 22, 2021
Last updated: Feb 22, 2021

Medicare and OIG

Medicare enrolled (PECOS): Yes · PART B SUPPLIER - CLINIC/GROUP PRACTICE
Can order and refer: Not on the CMS order and referring list
OIG exclusion list: This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
207N00000X	Dermatology	–	–	Yes

Practice location

4207 Boulder Ridge Rd
Bismarck, ND 58503-6163

Phone 701-673-3376

Mailing address

4207 Boulder Ridge Rd
Bismarck, ND 58503-6163

Phone 701-673-3376

Authorized official

Brenda Bosch
Business Manager
7012204858

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Dermatology Physician providers in Bismarck, ND

All 11 Dermatology Physician providers in Bismarck · All 4,497 providers in Bismarck

Checking a whole list?

Paste a list of NPIs and get status, record, Medicare enrollment and OIG exclusion for each one. 100 free a day, then from $5 for 5,000. Useful for credentialing, billing and pharmacy claim checks.

Start a bulk check