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Contact Information

BRIAN GORMAN, MBBCH
200 1ST ST SW
ROCHESTER, MN55905-0001
 Phone: 507-284-2511
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Diagnostic Ultrasound

2085U0001X
Indicates primary specialty

NPI Profile & details for BRIAN GORMAN · (Male)

NPI Number 1295715662
Status Active
Credentials MBBCH
Entity Individual
Enumeration date 01/20/2006
Last updated 12/05/2012 - About 14 years ago
Sole proprietor 1 No
Identifiers
  • MN License # 36152
  • IA Medicaid ENROLLED
  • MN Medicaid 020322000
  • SD Medicaid ENROLLED
  • WI Medicaid 35139600
  • MN Other 300028385 RAILROAD MEDICARE
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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