Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1699539098 Individual Practitioner Male Practitioner

Ethan Young Bird

Driver • Bismarck, ND

Professional Overview & Biography Verified Profile Summary

Ethan Young Bird is a registered healthcare professional specializing in Driver in Bismarck, ND. Practice services are available at 1308 ELBOWOOD LN under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1308 Elbowood Ln

Bismarck, ND 585035712

Telephone 7017518260
Fax 7017512274
Associated Practice Facility / Clinic
🏢 Good Road Recovery Center Facility NPI 1629544267

Specialty Benchmarks & Practice Insights

Comparative analytics for Driver in Bismarck, ND

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
22 Specialists

Practicing in Bismarck, ND (76 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2024-02-07
Driver Primary Specialty

NUCC Taxonomy Code: 172A00000X

State License ND YOU964744

A person employed to operate a motor vehicle as a carrier of persons or property.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Ismelda Vasquez

Case Manager/Care Coordinator

NPI 1023891595
NPI 1043949548

Licensed Master Social Worker

Jasten Schock

Case Manager/Care Coordinator

NPI 1093402117
NPI 1114614237
NPI 1144009176
Domninck Wells

Case Manager/Care Coordinator

NPI 1144917253

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active February 07, 2024

NPI status registered as active in NPPES database

📍
Updated Practice Location February 07, 2024

Registered at 1308 ELBOWOOD LN, BISMARCK, ND 585035712 (Tel: 7017518260)

📍
Updated Business Mailing Address February 07, 2024

Registered at 1308 ELBOWOOD LN, BISMARCK, ND 585035712 (Tel: 7017518260)

👤
Provider Name / Credentials Updated February 07, 2024

Recorded as ETHAN YOUNG BIRD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 07, 2024

Driver (License #YOU964744 in ND)

🟢
Initial NPI Registration & Enumeration February 07, 2024

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1699539098
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 07, 2024
Last Update: February 07, 2024
Sole Proprietor: No

Mailing Address

1308 Elbowood Ln

Bismarck, ND 585035712

Phone: 7017518260

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.