Provider Demographics
NPI:1104853928
Name:BITZ, JAMES P (PT)
Entity Type:Individual
Prefix:
First Name:JAMES
Middle Name:P
Last Name:BITZ
Suffix:
Gender:M
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 6001
Mailing Address - Street 2:
Mailing Address - City:FARGO
Mailing Address - State:ND
Mailing Address - Zip Code:58108-6001
Mailing Address - Country:US
Mailing Address - Phone:701-364-8000
Mailing Address - Fax:701-364-8078
Practice Address - Street 1:3000 32ND AVE S
Practice Address - Street 2:
Practice Address - City:FARGO
Practice Address - State:ND
Practice Address - Zip Code:58103-6132
Practice Address - Country:US
Practice Address - Phone:701-364-8000
Practice Address - Fax:701-364-8078
Is Sole Proprietor?:No
Enumeration Date:2006-06-27
Last Update Date:2012-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ND1128225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
ND23221OtherNDBS #
NDHP38645OtherHEALTHPARTNERS #
ND373J9BIOtherMNBS #
ND54457Medicaid
ND6403930OtherMEDICA #
ND6403931OtherMEDICA #
ND6403932OtherMEDICA #
ND047G8BIOtherMNBS #
NDFS9011015523OtherPREFERRED ONE #
NDP00122361Medicare ID - Type UnspecifiedRR MEDICARE #
ND6403930OtherMEDICA #
ND047G8BIOtherMNBS #
ND713024Medicare PIN