Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Burton J Mollman, PA-C

Individual provider Physician Assistant · NPI 1003038811

Burton J Mollman, PA-C is a Physician Assistant in Bismarck, North Dakota. Qualified in 2007, 19 years ago. Practices with Medallus and Vacharothone Ltd, a 12-clinician group and accepts Medicare assignment. Licensed in North Dakota.

Years since qualifying
19
Licensed in
ND
In the registry since
2007
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

4401 Coleman St Ste 107
Bismarck, ND 58503-1371
Phone: (701) 751-4340
Fax: (701) 751-4340
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PAC0418 (ND)

Record details

NPI number1003038811
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedMay 2, 2007
Last updated in NPPESNovember 25, 2020
Certification dateNovember 25, 2020

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2007 (19 years in practice)
Group practice Medallus And Vacharothone Ltd — 12 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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