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

Gary Bohannon

Individual provider Internal Medicine Physician · NPI 1467430603

Gary Bohannon is an Internal Medicine Physician in Brainerd, Minnesota. Licensed in Minnesota. Registered with an NPI since 2006.

Licensed in
MN
In the registry since
2006

Practice location Address checks out

2024 S 6th St
Brainerd, MN 56401-4529
Phone: (218) 825-7100
Show map & directions

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

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 24755 (MN)

Record details

NPI number1467430603
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJanuary 6, 2006
Last updated in NPPESJuly 25, 2007
Mailing address2024 S 6th St, Brainerd, MN 56401-4529

Other providers in Brainerd