NPI Database
Lookup NPI Numbers from the NPI Registry

Contact Information

BREAKAWAY FUNCTIONAL MEDICINE
319 S MANDAN ST
BISMARCK, ND58504-5558
 Phone: 480-262-0249
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Nurse Practitioner

363L00000X 50 Nurse Practitioner
 

Health & Wellness Coach

171400000X
Indicates primary specialty

NPI Profile & details for BREAKAWAY FUNCTIONAL MEDICINE

NPI Number 1780528307
LBN Legal business name BREAKAWAY FUNCTIONAL MEDICINE
Authorized official AUSTIN MILL - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 04/15/2026
Last updated 04/15/2026 - About 2 months ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

Reviews for BREAKAWAY FUNCTIONAL MEDICINE

Thanks - Your review has been submitted! Please note that if we find that this review has violated our terms or is simply deemed unacceptable, we will remove it without notice.

There are currently no reviews for BREAKAWAY FUNCTIONAL MEDICINE
Be the first to post a comment or review.


Read our reviews / comments about this provider to help you decide if they are right for you. Share your experience by posting a comment or review about this provider to help others decide which is right for them.

Nearby Physician Assistants & APNs
ENLIGHTEN HEALTHCARE PLLC
1800 BURLINGTON DRIVE
BISMARCK, ND
CHRISTINA R GISVOLD, FNP-C
300 N 7TH ST
BISMARCK, ND
RHONDA D DOCKTER JOLLIFFE, MSN, ARNP, FNP
1001 GATEWAY AVENUE
BISMARCK, ND
GLORIA D WOLF, FNP
900 E BROADWAY AVENUE
BISMARCK, ND
CONNIE J KADRMAS, FNP-BC
515 E BROADWAY AVE
BISMARCK, ND
ANITA M FRU
310 N 10TH ST
BISMARCK, ND
JEAN TOMAN, NP
2500 SUNSET DRIVE NW
BISMARCK, ND
KELLIE WEISENBURGER, FNP
87 LINCOLN AVE
UNDERWOOD, ND
SUSAN WARDNER, FNP
416 KUNDERT ST
TURTLE LAKE, ND
KERRI D BENNING, FNP-C
104 MAIN STREET
TURTLE LAKE, ND

  View all Physician Assistants & APNs
v2.403