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BRIAN JEFFERSON DAWSON MD NPI 1871540435


NPI Information

NPI: 1871540435
Provider Name: BRIAN JEFFERSON DAWSON, MD
Classification: Family Medicine - 207QA0401X
Entity Type: Individual

Specialization: Addiction Medicine

PECOS Registration: Yes

Address:
3345 39TH ST S STE 2
FARGO, ND
ZIP 58104
Phone: (509) 222-1275
Get Directions

Brian Jefferson Dawson, MD is an addiction medicine family medicine in Fargo, ND with 24 years of experience. The provider is a family medicine physician who specializes in the diagnosis and treatment of addictions. Brian Jefferson Dawson, MD NPI is 1871540435. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: UNIVERSITY OF WASHINGTON SCHOOL OF MEDICINE
Graduation Year:2000

The provider's business location address is:

3345 39TH ST S STE 2
FARGO, ND
ZIP 58104
Phone: (509) 222-1275
Fax: (509) 491-3031

The NPI 1871540435 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Testing for presence of drug (HCPCS:80307)
  • Routine electrocardiogram (ekg) using at least 12 leads with interpretation and report (HCPCS:93010)

The enumeration date for this NPI number is 5/28/2006 and was last updated on 11/10/2022.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207P00000XEmergency MedicinePT15145NORTH DAKOTANo
2207P00000XEmergency MedicineMD00042009WASHINGTONNo
3207RA0401XInternal MedicineAddiction MedicinePT15145NORTH DAKOTANo
4207QA0401XFamily MedicineAddiction MedicinePT15145NORTH DAKOTAYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
10202684OTHERWASHINGTONLIWA
23074DAOTHERWASHINGTONBSWA
38352197MEDICAIDWASHINGTON

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.