Advanced Integrative Medicine
NPI 1487949897ActiveOrganization· General Practice· Crosby, MN
General Practice in Crosby, Minnesota, registered in NPPES in June 2011. The authorized official on file is Mark Bostrom, D.O., Executive Medical Director.
Overview
| NPI | 1487949897 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jun 14, 2011 |
| Last updated in NPPES | Oct 4, 2011 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| General Practice Primary | 208D00000X | 38115 | MN |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|