BRENNAN MICHEAL FORWARD M.D. NPI 1659663557

NPI Information

NPI: 1659663557
Provider Name: BRENNAN MICHEAL FORWARD, M.D.
Classification: Pediatrics - 208000000X
Entity Type: Individual

PECOS Registration: Yes

Address:
801 BROADWAY N
FARGO, ND
ZIP 58102
Phone: (701) 234-3200
Get Directions

Brennan Micheal Forward, M.D. is a pediatrics in Fargo, ND. The provider is a pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. Brennan Micheal Forward, M.D. NPI is 1659663557. 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:

801 BROADWAY N
FARGO, ND
ZIP 58102-641
Phone: (701) 234-3200

The NPI 1659663557 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 enumeration date for this NPI number is 5/10/2011 and was last updated on 4/27/2015.

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	License Number	License State	Primary
1	208000000X	Pediatrics	13334	NORTH DAKOTA	No
2	390200000X	Student in an Organized Health Care Education/Training Program			No
3	208000000X	Pediatrics	58335	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
1	H400168807	MEDICARE PIN	MINNESOTA
2	81192	MEDICAID	NORTH DAKOTA
3	H400168809	MEDICARE PIN	MINNESOTA
4	N720874	MEDICARE PIN	NORTH DAKOTA
5	N720873	MEDICARE PIN	NORTH DAKOTA

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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