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NPI 1376256701 · live from the CMS NPI Registry

Alec Michael Bognar, RD

Dietitian, Registered in Rochester, MN. National Provider Identifier 1376256701, active.

NPI record

NPI1376256701 Type 1 · individual
StatusActive
Primary specialtyDietitian, Registered 133V00000X
Practice location200 1st St Sw, Rochester, MN 55905
Practice phone507-284-2511
EnumeratedDecember 30, 2022
Last updatedJanuary 3, 2025
Sole proprietorNo

Taxonomies and licenses

TaxonomyCodeLicense
Dietitian, Registered133V00000X164009335 (IL)
Dietitian, Registered primary133V00000X4948 (MN)

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.