Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Jeremy Forrest Brudevold, DO

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1699094748

Dr. Jeremy Forrest Brudevold, DO is a Student in an Organized Health Care Education/Training Program in Fargo, North Dakota. Licensed in North Dakota. Registered with an NPI since 2010.

Licensed in
ND
In the registry since
2010
Specialties on file
2
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

Student / training record This NPI belongs to someone enrolled in a health care training programme. It carries no licence and no practice of its own, so no address or phone number is published for it.

Fargo, ND

No coordinates on file. Search this address in Google Maps

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence 12740 (ND)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1699094748
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedMay 27, 2010
Last updated in NPPESSeptember 4, 2024
Certification dateSeptember 4, 2024

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