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GARY BOHANNON
NPI 1467430603
Internal Medicine in Brainerd, MN

Active since January 06, 2006
2024 S 6TH ST, BRAINERD, MN 56401(218) 825-7100 Get Directions Write a Review

NPPES record last updated: July 25, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Gary Bohannon NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GARY BOHANNON (NPI 1467430603) is an individual internal medicine provider in Brainerd, Minnesota, licensed in Minnesota (24755) and active in the NPI registry since January 2006.

NPPES Registry Identity

NPI1467430603
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameGARY BOHANNON
Location Address2024 S 6TH STBrainerd, MN 56401-4529
Mailing Address2024 S 6th StBrainerd, MN 56401-4529 · (218) 825-7100
Phone(218) 825-7100
Sole ProprietorNo
Enumeration DateJanuary 6, 2006
Last NPPES UpdateJuly 25, 2007
✔ NPI 1467430603 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in MN · 24755
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
2024 S 6TH ST, Brainerd, MN 56401
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Other Identifiers 1

Medicare UPIND48421MN

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ERIC JOHN CHAPMAN D.O.
Urology
2024 S 6TH ST
BRAINERD, MN 56401
Crow Wing County (218) 828-7100
KARLI G DULLUM APRN, CNP
Nurse Practitioner (Family)
2024 S 6TH ST
BRAINERD, MN 56401
Crow Wing County (218) 828-7101
DON W WENNBERG MD
Surgery
2024 S 6TH ST
BRAINERD, MN 56401
Crow Wing County (218) 855-5431
CHENISE R LOZANCIC PHARMD
Pharmacist
2024 S 6TH ST
BRAINERD, MN 56401
Crow Wing County (218) 828-2880
CHRISTA A EICKHOFF M.D.
Internal Medicine (Infectious Disease)
2024 S 6TH ST
BRAINERD, MN 56401
Crow Wing County (218) 828-7101
DR. ERIC RYAN FENSTAD M.D., MSC
Internal Medicine (Cardiovascular Disease)
2024 S 6TH ST
BRAINERD, MN 56401
Crow Wing County (218) 855-5280
BRAINERD MEDICAL CENTER INC
Pharmacy (Clinic Pharmacy)
2024 S 6TH ST
BRAINERD, MN 56401
Crow Wing County (218) 829-7455
DR. VISHNUTEJA V DEVALLA M.D.
Internal Medicine (Rheumatology)
2024 S 6TH ST
BRAINERD, MN 56401
Crow Wing County (218) 828-7100

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Gary Bohannon's NPI number?

The NPI number for Gary Bohannon is 1467430603. It was assigned to this individual provider in the NPPES registry on January 6, 2006.

Where is Gary Bohannon located?

Gary Bohannon practices at 2024 S 6th St, Brainerd, MN 56401. The listed phone number is (218) 825-7100.

What is Gary Bohannon's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

When was this NPI record last updated?

The NPPES record for Gary Bohannon was last updated on July 25, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.