BRIAN J GRETEMAN (NPI# 1114919024) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114919024 |
| Entity Type | Individual |
| Full Name | BRIAN J GRETEMAN |
| Credential | DPM, PA |
| Practice Address |
3883 Coon Rapids Blvd Nw Coon Rapids MN 55433-2518 |
| Practice Telephone | 7634220233 |
| Practice Fax Number | 7634229640 |
| Mailing Telephone | 7634220233 |
| Mailing Fax Number | 7634229640 |
| Enumeration Date | 2005-08-17 |
| Last Update Date | 2008-05-07 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213E00000X | Podiatrist | MN 435 | MN | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN MA | 873725800 | 01 | |
| BC/BS (GROUP) | 1B746GR | 01 | |
| TRI-CARE | 41-1984647 | 01 | |
| RR MEDICARE | 480032360 | 01 | |
| MN | 873725800 | 05 | |
| MEDICA | 27-25644 | 01 | |
| U-CARE | 107452 | 01 | |
| HEALTH PARTNERS | 75928 | 01 | |
| HEALTH PARTNERS | HP17598 | 01 | |
| CHOICE PLUS | 109919 | 01 | |
| ARAZ | 1685548 | 01 | |
| GROUP HEALTH | 23283 | 01 | |
| PREFERRED ONE | 961510781001 | 01 | |
| BC/BS (PIN) | 9H364GR | 01 |
| Street Address |
3883 COON RAPIDS BLVD NW |
| City | COON RAPIDS |
| State | MN |
| Zip Code | 55433-2518 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689228470 | Healthdrive Podiatry Group, PC | Durable Medical Equipment & Medical Supplies | 3883 Coon Rapids Blvd Nw, Coon Rapids, MN 55433-2518 | 2019-07-30 |
| 1811396393 | On-site Podiatry | Podiatrist | 3883 Coon Rapids Blvd Nw, Coon Rapids, MN 55433-2518 | 2014-08-20 |
| 1932423878 | Brian J Greteman, Dpm, Pa | Podiatrist | 3883 Coon Rapids Blvd Nw, Coon Rapids, MN 55433-2518 | 2010-03-22 |
| 1245436302 | John P Loes | Family Medicine | 3883 Coon Rapids Blvd Nw, Coon Rapids, MN 55433-2518 | 2007-06-26 |
| 1790709830 | Anoka Area Family Medicine Clinic, Pa | Family Medicine | 3883 Coon Rapids Blvd Nw, Coon Rapids, MN 55433-2518 | 2006-07-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770134793 | Shelley Karee Peterson | Technician | 10311 Bittersweet St Nw, Coon Rapids, MN 55433 | 2019-09-20 |
| 1578122057 | Courtney Gau | Behavior Technician | Fraser Coon Rapids, 9120 Springbrook Dr. Nw, Coon Rapids, MN 55433 | 2019-06-10 |
| 1992275606 | Maliki Fofee Kamara | Licensed Practical Nurse | 2451 109th Ave Nw Apt. 1, Coon Rapids, MN 55433 | 2018-11-26 |
| 1992284541 | Sarah Vennes | Massage Therapist | 6400 Flying Cloud Dr, Suite 240, Eden Prairie, MN 55433 | 2018-08-13 |
| 1538646609 | Paige Prince | Behavior Technician | Fraser Coon Rapids, 9120 Springbrook Drive Nw, Coon Rapids, MN 55433 | 2018-07-23 |
| 1154828242 | Karin Lea Englund | Dentist | 9145 Springbrook Dr Nw Ste 100, Coon Rapids, MN 55433 | 2018-04-06 |
| 1235642513 | Vista Family Eye Care LLC | Optometrist | 9920 Foley Blvd Nw Ste 120, Coon Rapids, MN 55433 | 2017-11-09 |
| 1538697818 | Mohammed Nmn Ahmed | Internal Medicine | 9055 Spring Brook Drive, Allina Coon Rapids Clinic 9055, Coon Rapids, MN 55433 | 2017-05-31 |
| 1639531353 | Journi LLC | Nurse Practitioner | 277 Coon Rapids Blvd Suite 308, Coon Rapids, MN 55433 | 2016-03-22 |
| 1821457722 | Honorine Boyce | Licensed Practical Nurse | 2743 111th Ave. Nw, Coon Rapids, MN 55433 | 2016-02-19 |
| Find all providers in zip 55433 | ||||
| Taxonomy Code | 213E00000X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114448354 | Kelsey T Miller | Podiatrist | 4050 Coon Rapids Blvd Nw, Coon Rapids, MN 55433-2522 | 2017-06-28 |
| 1558775304 | Nathan Aaron Lam | Podiatrist | 4050 Coon Rapids Blvd Nw, Coon Rapids, MN 55433-2522 | 2014-06-19 |
| 1932423878 | Brian J Greteman, Dpm, Pa | Podiatrist | 3883 Coon Rapids Blvd Nw, Coon Rapids, MN 55433-2518 | 2010-03-22 |
| 1912908435 | Jeffrey Lee Mich | Podiatrist | 3790 117th Ln Nw, Coon Rapids, MN 55433-2666 | 2005-08-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912556937 | Seniorwell Pod of Minnesota, LLC | Podiatrist | 100 S 5th St Ste 1900, Minneapolis, MN 55402-1267 | 2019-09-11 |
| 1033553789 | Advanced Foot & Ankle Clinic LLP | Podiatrist | 633 1st St Se Ste 100, Faribault, MN 55021-6348 | 2013-04-24 |
| 1881963239 | Foot Care Across America, LLC | Podiatrist | 14654 Rhinestone Terrace, Ramsey, MN 55303-4923 | 2011-12-14 |
| 1083902126 | Paul H Peterson | Podiatrist | 1420 109th Ave Ne Ste 100, Blaine, MN 55449-3603 | 2011-07-11 |
| 1619261708 | Nathan D Sanders | Podiatrist | 404 West Fountain Street, Albert Lea, MN 56007-3920 | 2011-06-06 |
| 1427352087 | Doctors By Your Side | Podiatrist | 6600 Lyndale Av S, #120, Richfield, MN 55423-3398 | 2010-12-22 |
| 1154566396 | Sarah Phelps Whittaker | Podiatrist | 2221 Ford Parkway, Suite #350, Saint Paul, MN 55116-3837 | 2008-12-02 |
| 1568635969 | Bolcer Podiatry, Inc. | Podiatrist | 19230 Evans St Nw Ste 109, Elk River, MN 55330-1079 | 2008-04-07 |
| 1194846782 | Range Podiatric Care, Pa | Podiatrist | 809 N 6th Ave, Northgate Plaza, Virginia, MN 55792-2308 | 2007-04-02 |
| 1285779991 | John Tyler Garner | Podiatrist | 2302 Highway 53, Eveleth, MN 55734-8523 | 2007-02-20 |
| Find all providers with the same taxonomy | ||||
| City | COON RAPIDS |
| Zip Code | 55433 |
Please comment or provide details below to improve the information on BRIAN J GRETEMAN.
| 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.