Individual provider

Randall Bjork, M.D.

Neurology Physician Medicare enrolled

Randall Bjork, M.D. is a Neurology Physician in Mishawaka, IN, registered under NPI 1265434112. NPPES records them as a sole proprietor, meaning the practice is not incorporated as a separate legal entity.

Getting there

The practice address on file is 611 E DOUGLAS RD STE 305, Mishawaka, IN 46545. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.

611 E DOUGLAS RD STE 305, Mishawaka, IN 46545 Open in Google Maps →

Credentials and Medicare

State licence
LicenceStateSpecialty
MD60987866 WA Neurology Physician primary
29018 CO Neurology Physician

Licences are recorded in 2 states: WA, CO. Providers licensed in several states often practise near a state border or deliver telehealth across state lines.

Medicare (PECOS)
Status
Approved
Provider type
Practitioner - Neurology
PAC ID
3678460912
Enrollment ID
I20210415002028

Medicare enrolment is recorded as approved under the provider type Practitioner - Neurology. Being enrolled means the provider can bill Medicare; it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.

Licensed in 2 states

This provider holds licences in 2 states: Colorado and Washington. Multi-state licensure often means the provider works near a state border, covers more than one office, or delivers care by telehealth. If the address above is far from you, it is worth calling to ask whether they practise closer to where you live.

CO Colorado
Licence
29018
Specialty
Neurology Physician
Verify with the CO board →
WA Washington
Licence
MD60987866
Specialty
Neurology Physician
Verify with the WA board →

Licence numbers are self-reported to NPPES at registration. They do not confirm a licence is currently active, in good standing, or valid for the specialty shown — only the state board can tell you that, which is why we link to each one.

What Neurology covers

A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. NUCC Health Care Provider Taxonomy, code 2084N0400X
Allopathic & Osteopathic Physicians Psychiatry & Neurology Neurology

All registered taxonomy codes

This provider registers 2 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.

CodeSpecialtyLicenceState
2084N0400X Neurology Physician Neurology MD60987866 WA primary
2084N0400X Neurology Physician Neurology 29018 CO

The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.

Full NPPES record

An NPI-1 identifies a single person. It stays with the clinician for life, even if they move practice or change state, which is why the address on file can lag behind where they actually work today.

NPI1265434112 valid check digit
Entity typeIndividual (NPI-1)
Enumeration dateAug 11, 2005
Last updatedJan 13, 2026
StatusActive
Sole proprietorYes
CredentialM.D.
Practice address 611 E DOUGLAS RD STE 305
Mishawaka, IN 46545
(574) 335-6450
Fax (574) 335-0643
Mailing address 5215 HOLY CROSS PKWY
Mishawaka, IN 46545
Other identifiers 01290188 · Medicaid (CO)
This record was updated on Jan 13, 2026, which is recent enough that the contact details are likely still accurate.

Number check

1265434112 passes the NPI check digit test The final digit 2 matches the value computed from the first nine digits, so this is a well-formed NPI.
How the check works, step by step

Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.

Digit 8 0 8 4 0 1 2 6 5 4 3 4 1 1
Doubled? ×2 ×2 ×2 ×2 ×2 ×2 ×2
Value 8 0 8 8 0 2 2 3 5 8 3 8 1 2

Sum = 58 · next multiple of 10 = 60 · check digit = 2 · actual last digit = 2

A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.

Common questions

What is NPI number 1265434112?
NPI 1265434112 is the National Provider Identifier assigned to Randall Bjork, M.D. in Mishawaka, IN. It is a 10-digit number issued by the Centers for Medicare & Medicaid Services and used on claims, referrals, and prescriptions to identify the provider.
What does Neurology cover?
A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
How do I contact Randall Bjork, M.D.?
The phone number on file with NPPES is (574) 335-6450, last updated Jan 13, 2026. Because NPPES is only updated when a provider files a change, call ahead to confirm the number and the current practice address before visiting.
Does Randall Bjork, M.D. accept Medicare?
This NPI has an approved Medicare enrolment in PECOS, which means the provider is enrolled to bill Medicare. Enrolment does not guarantee they are accepting new Medicare patients — verify directly with the office.
Is NPI 1265434112 a valid number?
Yes. 1265434112 passes the Luhn check digit validation that CMS uses for NPI numbers, and it resolves to an active record in the registry.
How to use this page. Everything here comes from public federal records. Tips Health does not verify quality of care, confirm that a licence is currently active, or check malpractice history, and accepts no fees for placement. A listing is not a recommendation. Verify independently before seeking care.