DR. BRETT JAMES BALDWIN (NPI# 1316212632) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1316212632 |
Entity Type | Individual |
Full Name | DR. BRETT JAMES BALDWIN |
Credential | D.O. |
Practice Address |
1421 Premier Dr Mankato MN 56001-6076 |
Mailing Address |
1230 E Main Street Po Box 8674 Mankato MN 56002-8674 |
Practice Telephone | 5076251811 |
Mailing Telephone | 5076251811 |
Enumeration Date | 2012-03-20 |
Last Update Date | 2020-07-31 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207YS0123X |
Otolaryngology Specialization: Facial Plastic Surgery |
61518 | MN | Allopathic & Osteopathic Physicians |
N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
Street Address |
1421 PREMIER DR |
City | MANKATO |
State | MN |
Zip Code | 56001-6076 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1225032980 | Darla J Wrage | Pediatrics | 1421 Premier Dr, Mankato, MN 56001-6076 | 2005-06-10 |
1780214890 | Sarah Lynnette Martens | Physician Assistant | 1421 Premier Dr, Mankato, MN 56001-6076 | 2020-01-17 |
1801381603 | Nicole Fischbach | Family Medicine | 1421 Premier Dr, Mankato, MN 56001-6076 | 2018-06-25 |
1942732763 | Kelly Marie Bryan | Pediatrics | 1421 Premier Dr, Mankato, MN 56001-6076 | 2017-03-30 |
1659750701 | Amy Deehr | Pediatrics | 1421 Premier Dr, Mankato, MN 56001-6076 | 2015-05-22 |
1982016176 | Benjamin Cody Dexter | Pediatrics | 1421 Premier Dr, Mankato, MN 56001-6076 | 2014-05-22 |
1295145902 | Gillette Children's Specialty Healthcare | Prosthetic/Orthotic Supplier | 1421 Premier Dr, Suite 100, Mankato, MN 56001-6076 | 2014-05-02 |
1376978874 | Amanda E Bohn | Audiologist | 1421 Premier Dr, Mankato, MN 56001-6076 | 2013-09-04 |
1245597046 | Colin W. Weerts | Family Medicine | 1421 Premier Dr, Mankato, MN 56001-6076 | 2012-04-18 |
1811254022 | Meagan Crary | Nurse Practitioner | 1421 Premier Dr, Suite 100, Mankato, MN 56001-6076 | 2012-04-12 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1154935435 | Kelly Nicole Ricke | Physical Medicine & Rehabilitation | 1 Civic Center Plaza, Hockey Office Complex, Mankato, MN 56001 | 2020-09-03 |
1649816786 | Ashley Lynn Walters | Technician, Other | 501 Madison Ave., Mankato, MN 56001 | 2019-11-25 |
1720631716 | Dovetail Traslation LLC | Interpreter | 212 Dublin Ct, Same As Above, Mankato, MN 56001 | 2019-07-19 |
1093377871 | Lindsey Keithahn | Counselor | 2100 Bassett Drive, Mankato, MN 56001 | 2019-07-02 |
1255803813 | Amy Marie Williams | Acupuncturist | 709 S. Front Street, Suite 5, Mankato, MN 56001 | 2018-12-20 |
1518437573 | Ashley Blanchard | Acupuncturist | Vida Salon Suites 1351 Madison Avenue, Suite F/ Suite 206, Mankato, MN 56001 | 2018-12-03 |
1831687235 | Christian Goetz | Specialist/Technologist | 401-477 South Rd, Mankato, MN 56001 | 2018-05-01 |
1366949141 | Minnesota State College and Universities | Specialist/Technologist | 135 Myers Field House, Mankato, MN 56001 | 2018-04-09 |
1780191775 | Kevin David Nelson | Pharmacist | 111 Redtail Ct Apt 308, Mankato, MN 56001 | 2017-12-29 |
1972014231 | Rylee Wagner | Speech-Language Pathologist | Mankato Clinic Pediatric Therapy Services, 150 St. Andrews Court, Suite 310, Mankato, MN 56001 | 2017-10-13 |
Find all providers in zip 56001 |
Taxonomy Code | 207YS0123X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Otolaryngology |
Specialization | Facial Plastic Surgery |
An otolaryngologist who specializes in facial plastic surgery. |
Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A General Certificate was, but is no longer issued by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1427493485 | Ronald J Schroeder II | Otolaryngology | 2080 Woodwinds Dr Ste 220, Woodbury, MN 55125-2529 | 2013-05-05 |
1851518674 | Edward Henry Szachowicz | Otolaryngology | 7373 France Av. So., Suite #508, Edina, MN 55435-4549 | 2007-04-20 |
1306842711 | Rick Lee Nissen | Otolaryngology | 8714 Lyndale Ave S, Minneapolis, MN 55420-2738 | 2005-06-22 |
1669897500 | Casey Fisher | Otolaryngology | 3366 Oakdale Ave N Ste 150, Robbinsdale, MN 55422-2978 | 2014-03-02 |
1891089850 | Nathan Daniel Johnson | Otolaryngology | 2211 Park Ave, Minneapolis, MN 55404-3711 | 2011-06-07 |
1265583652 | Kurtis A. Waters, M.d., P.a. | Otolaryngology | 13359 Isle Dr, Suite 1, Baxter, MN 56425-2221 | 2007-01-15 |
1043256357 | Christopher John Tolan | Otolaryngology | 2080 Woodwinds Drive, #240, Woodbury, MN 55125 | 2006-06-22 |
1194775429 | Michael D Peters | Otolaryngology | 9825 Hospital Dr, Suite Ll-10, Maple Grove, MN 55369-4479 | 2006-05-10 |
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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.