IndividualActive
Jon Kolberg, MD
NPI 1790910446 · Sports Medicine (Family Medicine) Physician · Bismarck, ND
Provider details
- NPI number
- 1790910446
- Entity type
- Individual
- Primary specialty
- Sports Medicine (Family Medicine) PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- TRL11212 (ND)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
225 N 7th St
Bismarck, ND 58501-4417
Phone: (701) 323-6140
Fax: (701) 323-6907
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 5074
Sioux Falls, SD 57117-5074
Registry dates
- Enumerated
- 2009-05-26
- Last updated
- 2022-11-05
- Certified
- 2022-11-05
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.