Provider Demographics
NPI:1710911185
Name:BRIGGS, MICHAEL S (MD)
Entity Type:Individual
Prefix:
First Name:MICHAEL
Middle Name:S
Last Name:BRIGGS
Suffix:
Gender:M
Credentials:MD
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:701-364-3300
Mailing Address - Fax:701-364-8906
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:2006-07-10
Last Update Date:2011-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ND6435207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
ND142307OtherUCARE #
ND17236Medicaid
ND4800133OtherMEDICA #
ND15637OtherSIOUX VALLEY #
NDHP25715OtherHEALTHPARTNERS #
ND431067500Medicaid
ND1M632BROtherMNBS #
ND4859OtherNDBS #
ND900335OtherAMERICA'S PPO/ARAZ #
NDDA9011015511OtherPREFERRED ONE #
NDND200004OtherLHS #
ND4800138OtherMEDICA #
ND142307OtherUCARE #
ND4800138OtherMEDICA #
ND290004737Medicare ID - Type UnspecifiedRR MEDICARE #