Gary Bohannon is a Internal Medicine in Brainerd, Minnesota. Gary Bohannon practices all healthcare services and medical treatments related to Internal Medicine. The NPI Number for Gary Bohannon is 1467430603. The last update date is 2007-07-25.
Gary Bohannon's current location address is 2024 S 6th St, Brainerd, Minnesota. You can contact this provider via phone number 2188257100. The mailing address for Gary Bohannon is 2024 S 6th St, Brainerd, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Gary Bohannon |
|---|---|
| Address | 2024 S 6th St, Brainerd, Minnesota |
| Phone Number | 2188257100 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1467430603 |
|---|---|
| Provider Enumeration Date | 2006-01-06 |
| Last Updated Date | 2007-07-25 |
Provider Mailing Address Detail
| Address | 2024 S 6th St |
|---|---|
| City | Brainerd |
| State | Minnesota (MN) |
| Post Code | 564014529 |
| Phone Number | 2188257100 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Internal Medicine |
|---|---|
| Taxonomy | 207R00000X |
| Licence No | 24755 |
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Definition: A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and di |
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What is the unique identifier code issued to Gary Bohannon by the Centers for Medicare & Medicaid Services?
The Gary Bohannon has been assigned the NPI (National Provider Identifier) 1467430603. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Gary Bohannon?
The Gary Bohannon is physically situated at 2024 S 6Th St, in the city of Brainerd, state of MN, with the postal code 564014529.
What is Gary Bohannon's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Gary Bohannon is Internal Medicine, and the taxonomy classification code that categorizes this area of expertise is 207R00000X.
On what date did the Gary Bohannon receive the assignment of its 1467430603 from the Centers for Medicare & Medicaid Services?
The Gary Bohannon was issued its 1467430603 by the Centers for Medicare & Medicaid Services on 2006-01-06.
When was the information regarding Gary Bohannon, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Gary Bohannon, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2007-07-25.