Provider Demographics
NPI:1841239480
Name:NEUMANN, JAMES LESLIE (MD)
Entity type:Individual
Prefix:
First Name:JAMES
Middle Name:LESLIE
Last Name:NEUMANN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2101 ELM STREET N
Mailing Address - Street 2:
Mailing Address - City:FARGO
Mailing Address - State:ND
Mailing Address - Zip Code:58102
Mailing Address - Country:US
Mailing Address - Phone:701-239-3700
Mailing Address - Fax:701-364-8078
Practice Address - Street 1:2101 ELM STREET N
Practice Address - Street 2:
Practice Address - City:FARGO
Practice Address - State:ND
Practice Address - Zip Code:58102
Practice Address - Country:US
Practice Address - Phone:701-239-3700
Practice Address - Fax:701-364-8078
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-06
Last Update Date:2025-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ND7616207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
887687OtherAMERICAS PPO
NDG66348OtherND WORKERS COMP
ND7616OtherTRICARE
MN924016100Medicaid
04-07419OtherMEDICA
ND10551Medicaid
HN10910165OtherPREFERRED ONE
ND25248OtherND BLUE SHIELD
HN10910165OtherPREFERRED ONE
NDG66348OtherND WORKERS COMP
ND25248Medicare ID - Type Unspecified
MN924016100Medicaid