What is Gary Bohannon's NPI number?

Gary Bohannon's National Provider Identifier (NPI) is 1467430603, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What is Gary Bohannon's specialty?

Gary Bohannon is listed in the NPPES registry with a primary specialty of Internal Medicine Physician (Allopathic & Osteopathic Physicians).

Where is Gary Bohannon located?

Gary Bohannon's practice location on file with NPPES is 2024 S 6th St, Brainerd, MN 56401-4529.

What is Gary Bohannon's phone number?

The practice phone number listed in the NPPES registry for Gary Bohannon is (218) 825-7100.

Is Gary Bohannon's NPI active?

Yes — Gary Bohannon's NPI (1467430603) is active in the NPPES registry as of the last update on 2007-07-25.

IndividualActive

Gary Bohannon

NPI 1467430603 · Internal Medicine Physician · Brainerd, MN

Gary Bohannon is a Internal Medicine Physician provider in Brainerd, MN (NPI 1467430603).

Provider details

NPI number: 1467430603
Entity type: Individual
Primary specialty: Internal Medicine PhysicianAllopathic & Osteopathic Physicians
Sex: Male
Sole proprietor: No
License: 24755 (MN)

Specialties & taxonomies

Internal Medicine PhysicianPrimary207R00000XLicense 24755 (MN)
Allopathic & Osteopathic Physicians

Profile Score

Detailed profile(91/100 index)

A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.

Registry tenure38% of score
20 yrs in NPPES registry
Profile completeness38% of score
100% of core fields populated
Practice footprint23% of score
1 documented practice location

Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.

Practice location

2024 S 6th St

Brainerd, MN 56401-4529

Phone: (218) 825-7100

Street-level locationGet directions

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Mailing address