BRAINERD MEDICAL CENTER INC (NPI# 1053342329) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053342329 |
| Entity Type | Organization |
| Organization Name | BRAINERD MEDICAL CENTER INC |
| Other Organization Name | ESSENTIA HEALTH BRAINERD PHARMACY |
| Practice Address |
2024 S 6th St Brainerd MN 56401-4529 |
| Practice Telephone | 2188297455 |
| Practice Fax Number | 2188555205 |
| Mailing Telephone | 2188297455 |
| Mailing Fax Number | 2188555205 |
| Enumeration Date | 2006-07-05 |
| Last Update Date | 2013-12-19 |
| Authorized Official Name | MR. DAVID L PILOT (CFO) |
| Authorized Official Telephone | 2188287642 |
| Is Organization Subpart | Y |
| Parent Organization Name | BRAINERD MEDICAL CENTER INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3336C0002X |
Pharmacy Specialization: Clinic Pharmacy |
MN | Suppliers |
| Other Name | Type Code |
|---|---|
| Essentia Health Brainerd Pharmacy | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033680046 | Brainerd Medical Center Inc | Pharmacy | 280 Barclay Ave W, Ste 1100, Pine River, MN 56474 | 2018-12-17 |
| 1578034575 | Brainerd Medical Center Inc | Pharmacy | 30581 Patriot Ave Ste A, Pequot Lakes, MN 56472-4112 | 2018-12-17 |
| 1841576261 | Brainerd Medical Center Inc | Pharmacy | 13060 Isle Dr, Baxter, MN 56425-8331 | 2011-10-31 |
| 1700162328 | Brainerd Medical Center Inc | General Practice | 13060 Isle Drive, Baxter, MN 56425 | 2011-10-27 |
| 1295801777 | Brainerd Medical Center Inc | General Practice | 2024 S 6th St, Brainerd, MN 56401-4529 | 2006-11-28 |
| Street Address |
2024 S 6TH ST |
| City | BRAINERD |
| State | MN |
| Zip Code | 56401-4529 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861491672 | Nicholas P Bernier | Family Medicine | 2024 S 6th St, Brainerd, MN 56401-3054 | 2005-07-14 |
| 1013558881 | Karli G Dullum | Nurse Practitioner | 2024 S 6th St, Brainerd, MN 56401-4529 | 2019-10-03 |
| 1134572803 | Anna Eileen Wistrom-thesing | Nurse Practitioner | 2024 S 6th St, Brainerd, MN 56401-4529 | 2016-07-19 |
| 1215324983 | Gillette Children's Specialty Healthcare | Durable Medical Equipment & Medical Supplies | 2024 S 6th St, Brainerd, MN 56401-4529 | 2015-04-21 |
| 1669879730 | Randy Thomas Capelle | Physical Therapist | 2024 S 6th St, Brainerd, MN 56401-4529 | 2014-12-04 |
| 1467853002 | Melissa Ann Erickson | Nurse Practitioner | 2024 S 6th St, Brainerd, MN 56401-4529 | 2014-09-15 |
| 1477954576 | Nathan Aaron Kline | Clinical Nurse Specialist | 2024 S 6th St, Brainerd, MN 56401-4529 | 2014-09-08 |
| 1275952749 | Amanda Niemann | Physician Assistant | 2024 S 6th St, Brainerd, MN 56401-4529 | 2014-04-14 |
| 1215366380 | Adam Lee Purcell | Nurse Practitioner | 2024 S 6th St, Brainerd, MN 56401-4529 | 2013-11-08 |
| 1528409182 | Christina Gay Thell | Nurse Practitioner | 2024 S 6th St, Brainerd, MN 56401-4529 | 2013-07-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396222832 | Nicholas James Manning | Physical Therapist | 7350 Clearwater Rd N, Baxter, MN 56401 | 2018-07-27 |
| 1952819757 | Hannah Marie Darabi | Physical Therapist | Essentia Health Rehabilitation Services, 2016 South Sixth Street, Brainer, MN 56401 | 2018-01-15 |
| 1154867406 | Nancy Ann Schauer | Social Worker | 823 Maple Street, Northern Pine Mental Health Center, Brainerd, MN 56401 | 2017-01-10 |
| 1336530310 | Audrey Jean Twit | Pharmacist | 523 North Third Street, Essentia Health St Joseph's Medical Center, Brainerd, MN 56401 | 2015-02-11 |
| 1245638584 | The Renneke Chiropractic Clinic | Physical Therapist | 623 Madison St., Brainerd, MN 56401 | 2014-12-19 |
| 1124420179 | Jenna Niggeler | Acupuncturist | 1001 Kingwood St Ste 119a, Brainerd, MN 56401 | 2014-09-22 |
| 1073933719 | Nicholas Adam Lesmeister | Orthopaedic Surgery | 2014 South 6th Street, Brainerd, MN 56401 | 2014-04-21 |
| 1073864666 | Jennifer L. Owens | Marriage & Family Therapist | 4706 Wilderness Ct Ste 101, Brainerd, MN 56401 | 2012-09-24 |
| 1619297447 | Christine Elaine Smalling | Licensed Practical Nurse | 6317 Estate Circle Drive, Brainerd, MN 56401 | 2010-06-03 |
| 1528241577 | Dannia Lor Vang | Pharmacist | 2024 South 6th St, Clinic Pharmacy, Brainerd, MN 56401 | 2007-12-13 |
| Find all providers in zip 56401 | ||||
| Taxonomy Code | 3336C0002X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Clinic Pharmacy |
| A pharmacy in a clinic, emergency room or hospital (outpatient) that dispenses medications to patients for self-administration under the supervision of a pharmacist. |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
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| 1760792691 | Goodrich Pharmacy Fridley | Pharmacy | 480 Osborne Rd Suite 180, Fridley, MN 55432 | 2010-10-13 |
| 1770719585 | Fairview Pharmacy Services LLC | Pharmacy | 14712 Victor Hugo Blvd N Ste 10, Hugo, MN 55038-6324 | 2009-06-08 |
| 1548400849 | Moka Pharmacy Inc | Pharmacy | 1515 E Franklin Ave, Minneapolis, MN 55404-2137 | 2009-02-26 |
| 1902012107 | Metro Treatment of Minnesota, Lp | Pharmacy | 14 E Central Entrance, Suite B, Duluth, MN 55811-5508 | 2007-05-15 |
| 1790909083 | Aitkin Community Hospital Inc. | Pharmacy | 27278 State Hwy 18, Garrison, MN 56450 | 2007-04-11 |
| 1437203882 | Shakopee Mdewakanton Sioux Comm Phcy | Pharmacy | 15045 Mystic Lake Dr Nw, Prior Lake, MN 55372-9011 | 2007-01-23 |
| 1407931553 | Waconia Pharmacy | Pharmacy | 430 Highway 5 West, Waconia, MN 55387-1795 | 2006-10-26 |
| 1548365406 | Mayo Foundation for Medical Education & Research | Pharmacy | 201 Center St W, Ste Lo92, Rochester, MN 55902-3003 | 2006-09-14 |
| 1407951353 | Mayo Foundation for Medical Education & Research | Pharmacy | 221 4th Ave Sw Ste 1116, Rochester, MN 55902-3110 | 2006-09-14 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.