Randall Bostrom, MD

ActiveIndividual ProviderFamily Medicine
NPI issued: March 25, 2006

Quick Facts

NPI Number
1396705083
TypeIndividual
StatusActive
SpecialtyFamily Medicine
Taxonomy207Q00000X — Family Medicine
Phone
(320) 679-1313
StateMN

NPI Validation Status: Verified

Valid 10-digit NPI number (1396705083)
Active status confirmed
Verified by CMS NPPES Registry
HIPAA compliant identifier
Enumeration date on file (March 25, 2006)
Data source: CMS NPPES

Provider Overview

RANDALL BOSTROM, MD is a Family Medicine provider based in Mora, MN who has been registered with CMS since 2006. This NPI is currently Active under CMS NPPES registry.

Provider Details

NPI Number1396705083
Provider TypeIndividual Provider
GenderMale
CredentialMD
StatusActive
Enumeration DateMarch 25, 2006

Practice Location

CityMora
StateMN
ZIP Code55051-1899
Phone(320) 679-1313

Specialties & Licenses

★ Primary
SpecialtyFamily Medicine
Taxonomy Code207Q00000X
License StateMN

Mailing Address

CityMora
StateMN
ZIP Code55051-1899
Phone(320) 679-1313
Same as practice location

How to Use This NPI

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For Insurance Billing

Use NPI 1396705083 in Box 33 of the CMS-1500 claim form. This number is required by all major insurance carriers to identify the billing provider and process electronic medical claims.

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For Credentialing

Reference NPI 1396705083for provider credential verification. Hospital systems, state licensing boards, and CAQH directories query this number to verify the provider's active clinical status.

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For Patients

Share NPI 1396705083 with your insurance company. If you need to verify out-of-network benefits or file a reimbursement claim, your insurance provider will require this number to process it.

About Family Medicine

Family Medicine physicians provide comprehensive primary care to patients of all ages, managing acute illnesses, tracking chronic conditions, and emphasizing preventive healthcare.

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199,317
Family Medicine Providers in the US

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People Also Ask

What is Randall Bostrom's NPI number?
Randall Bostrom's NPI number is 1396705083, a unique 10-digit identifier issued by the Centers for Medicare & Medicaid Services (CMS).
Is Randall Bostrom's NPI currently active?
Yes, Randall Bostrom's NPI status is Active as of the latest CMS NPPES database updates.
What does Randall Bostrom specialize in?
Randall Bostrom specializes in Family Medicine. The healthcare taxonomy code associated with this specialty is 207Q00000X.
Where does Randall Bostrom practice?
Randall Bostrom practices in Mora, MN 55051-1899.
When was Randall Bostrom's NPI issued?
Randall Bostrom's NPI was issued on March 25, 2006.
What is Randall Bostrom's provider type?
Randall Bostrom is registered as an Individual Provider under CMS NPI Type 1.