MEDICARE: BRYAN W SORENSON

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	172A00000X	Driver

General Provider Information

NPI Number	:	1760064836
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BRYAN W SORENSON

Provider Business Mailing Address
First Line	:	6113 MAPLE VALLEY DR S
Second Line	:
City	:	FARGO
State	:	ND
Zip	:	58104-7657
Country	:	US
Telephone Number	:	701-200-7738
Fax Number	:

Provider Business Practice Location Address
First Line	:	6113 MAPLE VALLEY DR S
Second Line	:
City	:	FARGO
State	:	ND
Zip	:	58104-7657
Country	:	US
Telephone Number	:	701-232-3322
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/27/2021
Last Update Date	:	04/27/2021

Similar Medicare Providers

1679431787 — EMILY JO MARBACH
Practice Location Address:

4152 30TH AVE S
FARGO, ND
58104-8524

Practice Phone: 701-364-2663
Practice Fax:

1538027628 — SAVANNAH BROWN
Practice Location Address:

4152 30TH AVE S
FARGO, ND
58104-8524

Practice Phone: 701-364-2663
Practice Fax:

1194108720 — DIANNE KAPPELMAN BEYER DNP
Practice Location Address:

4622 40TH AVE S STE A
FARGO, ND
58104-4394

Practice Phone: 701-364-2909
Practice Fax:

1497614911 — INNER PEACE PSYCHIATRY
Practice Location Address:

3788 55TH AVE S STE 205
FARGO, ND
58104-5588

Practice Phone: 701-205-4847
Practice Fax: 701-540-0441

1063292134 — MARISSA ANN BYRNE DNP, PMHNP-BC
Practice Location Address:

3788 55TH AVE S STE 205
FARGO, ND
58104-5588

Practice Phone: 701-205-4847
Practice Fax: 701-540-0441

1255229951 — MACI BAKKEN OT
Practice Location Address:

4152 30TH AVE S
FARGO, ND
58104-8524

Practice Phone: 701-364-9070
Practice Fax:

Directions to “ BRYAN W SORENSON ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.