Individual
BRENT M HELLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4450 31ST AVE S STE 102, FARGO, ND 58104-4557
(701) 280-2033
(701) 232-5578
Mailing address
4450 31ST AVE S, STE 102, FARGO, ND 58104-4557
(701) 280-2033
(701) 232-5578
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
8491
ND
207RB0002X
Obesity Medicine (Internal Medicine) Physician
8491
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
04-02251
MEDICA
—
01
—
1020227
PREFERRED ONE
—
05
—
11277
—
ND
01
—
129104
UCARE
—
01
—
162D8HE
MN BLUE SHIELD
MN
01
—
21576
ND BLUE SHIELD
ND
05
—
632527100
—
MN
01
—
H05798
ND WORKERS COMP
ND
01
—
ND8491
TRICARE
—
Enumeration date
05/25/2006
Last updated
04/05/2019
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