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

Bao Tran

Individual provider Physician Assistant · NPI 1700583267

Bao Tran is a Physician Assistant in Moorhead, Minnesota. Qualified in 2022, 4 years ago. Practices with Nystrom and Associates Ltd, a 617-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Minnesota.

Years since qualifying
4
Licensed in
MN
In the registry since
2023

Practice location Address checks out

2405 8th St S Ste 200
Moorhead, MN 56560-4200
Phone: (218) 331-4866
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 14361 (MN)

Record details

NPI number1700583267
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedFebruary 14, 2023
Last updated in NPPESFebruary 14, 2023
Certification dateFebruary 14, 2023
Mailing address2405 8th St S Ste 200, Moorhead, MN 56560-4200

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Nystrom And Associates Ltd — 617 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Moorhead