BRIAN GORMAN MBBCH NPI 1295715662

NPI Information

NPI: 1295715662
Provider Name: BRIAN GORMAN, MBBCH
Classification: Radiology - 2085U0001X
Entity Type: Individual

Specialization: Diagnostic Ultrasound

Address:
200 1ST ST SW
ROCHESTER, MN
ZIP 55905
Phone: (507) 284-2511
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Brian Gorman, MBBCH is a diagnostic ultrasound radiology in Rochester, MN. The provider is a Radiology doctor of Osteopathy that specializes in Diagnostic Ultrasound. Brian Gorman, MBBCH NPI is 1295715662. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

200 1ST ST SW
ROCHESTER, MN
ZIP 55905-001
Phone: (507) 284-2511

The enumeration date for this NPI number is 1/20/2006 and was last updated on 12/5/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2085U0001X	Radiology	Diagnostic Ultrasound	36152	MINNESOTA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	020322000	MEDICAID	MINNESOTA
2	300028385	OTHER	MINNESOTA	RAILROAD MEDICARE
3	F48569	MEDICARE UPIN
4	35139600	MEDICAID	WISCONSIN
5	ENROLLED	MEDICAID	IOWA
6	ENROLLED	MEDICAID	SOUTH DAKOTA
7	300000677	MEDICARE PIN	MINNESOTA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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