DR. DANA BRANDENBURG (NPI# 1548296502) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548296502 |
| Entity Type | Individual |
| Full Name | DR. DANA BRANDENBURG |
| Credential | PSYD, LP |
| Practice Address |
2020 E 28th St Ufp Smiley's Clinic Minneapolis MN 55407-1394 |
| Practice Telephone | 6123330770 |
| Practice Fax Number | 6123331986 |
| Mailing Telephone | 6123330770 |
| Mailing Fax Number | 6123331986 |
| Enumeration Date | 2006-06-23 |
| Last Update Date | 2010-07-14 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
LP 4535 | MN | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | BCBS | 175R2BR | 01 |
| MN | HEALTHPARTNERS | HP48442 | 01 |
| MN | ARAZ | 2280059 | 01 |
| MN | UCARE | 113221 | 01 |
| MN | BCBS SMILEY'S | 615T1BR | 01 |
| MN | CHAMPUS | A049 | 01 |
| MN | UBH | 61-53755 | 01 |
| MN | 577460800 | 05 | |
| MN | PREFERRED ONE | 1042740 | 01 |
| Street Address |
2020 E 28TH ST UFP SMILEY'S CLINIC |
| City | MINNEAPOLIS |
| State | MN |
| Zip Code | 55407-1394 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942285085 | Chrystian Reynaldo Pereira | Pharmacist | 2020 E 28th St, Minneapolis, MN 55407-1394 | 2005-12-13 |
| 1003427956 | Ehren Greer Emter | Student in an Organized Health Care Education/Training Program | 2020 E 28th St, Minneapolis, MN 55407-1394 | 2020-08-13 |
| 1164041851 | Ann Nagle | Pharmacist | 2020 E 28th St, Minneapolis, MN 55407-1394 | 2020-04-13 |
| 1114551546 | Fairview Clinics | Clinic/Center | 2020 E 28th St, Minneapolis, MN 55407-1394 | 2020-02-25 |
| 1093377756 | David Bunch | Pharmacist | 2020 E 28th St, Minneapolis, MN 55407-1394 | 2019-07-02 |
| 1659937944 | Fairview Pharmacy Service LLC | Non-Pharmacy Dispensing Site | 2020 E 28th St, Minneapolis, MN 55407-1394 | 2019-05-13 |
| 1700345881 | Jacquelyn Cameron | Student in an Organized Health Care Education/Training Program | 2020 E 28th St, Minneapolis, MN 55407-1394 | 2019-03-18 |
| 1316439383 | Sara Massey | Pharmacist | 2020 E 28th St, Minneapolis, MN 55407 | 2018-06-05 |
| 1134616485 | Kristin Schwacha | Student in an Organized Health Care Education/Training Program | 2020 E 28th St, Minneapolis, MN 55407-1394 | 2018-04-21 |
| 1720513880 | Elizabeth Ellingwood Rowe | Student in an Organized Health Care Education/Training Program | 2020 E 28th St, Suite 104, Minneapolis, MN 55407-1394 | 2017-04-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720644057 | Amana Home Care | Home Health | 2833 13th Ave S Suite 118, Minneapolis, MN 55407 | 2019-05-13 |
| 1356802979 | Aaron Randy Pickrel | Student in an Organized Health Care Education/Training Program | 2800 Chicago Avenue, #250, Minneapolis, MN 55407 | 2019-03-27 |
| 1053881631 | Naimo Abdisalam | Registered Nurse | 1229 East Lake Street, Minneapolis, MN 55407 | 2018-11-27 |
| 1437639614 | Kelly Usitalo | Nurse Practitioner | 913 E 26th Street, Piper Building Suite 401, Minneapolis, MN 55407 | 2018-08-17 |
| 1952880346 | Allison Hall | Internal Medicine | Minneapolis Heart Institute, 920 E 28 St. #300, Minneapolis, MN 55407 | 2018-08-07 |
| 1780176370 | Rebekah Sand | Physical Therapist | 2800 Chicage Avenue S, Suite 102, Minneapolis, MN 55407 | 2018-05-31 |
| 1417448663 | Vivian T.c. Liu | Student in an Organized Health Care Education/Training Program | 2020 E 28th Street, Suite 104, Minneapolis, MN 55407 | 2018-05-23 |
| 1053802397 | Isuroon | Counselor | 1600 East Lake Street Suite 1, Minneapolis, Mpls, MN 55407 | 2018-05-22 |
| 1154811404 | Mohamed Mukhtar Ali | Dentist | 4700 Cedar Ave S, Minneapolis, MN 55407 | 2018-05-12 |
| 1396254280 | Erin Elizabeth Casper | Registered Nurse | 3621 Oakland Ave, Minneapolis, MN 55407 | 2017-09-25 |
| Find all providers in zip 55407 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861008567 | Natalia V Potapova | Psychologist | 701 Park Ave # S1.110, Minneapolis, MN 55415-1623 | 2020-09-17 |
| 1962014167 | Kate Esterline | Psychologist | 2724 University Ave Se Ste B, Minneapolis, MN 55414-3210 | 2020-08-19 |
| 1831740216 | Seth Gordon Disner | Psychologist | 1 Veterans Dr # B68-2, Minneapolis, MN 55417-2309 | 2019-09-26 |
| 1366090763 | Healing Therapy LLC | Psychologist | 1813 S 6th St Ste 201, Minneapolis, MN 55454-1208 | 2019-08-28 |
| 1891340469 | Karin Fisher | Psychologist | 701 Park Ave # S1.260, Minneapolis, MN 55415-1623 | 2019-08-09 |
| 1053881698 | Lauren Michelle Scholder | Psychologist | 401 Main St Se Apt 7009, Minneapolis, MN 55414 | 2018-11-27 |
| 1902306038 | Ksa Psychological Services, LLC | Psychologist | 5603 Chicago Ave., Minneapolis, MN 55417 | 2018-02-15 |
| 1689030231 | Oliver Ross Psychology and Consulting LLC | Psychologist | 3802 Grand Ave S, Suite A, Minneapolis, MN 55409-1233 | 2016-01-13 |
| 1295100881 | Oliver Ross | Psychologist | 3802a Grand Avenue South, Minneapolis, MN 55409 | 2015-12-08 |
| 1841664190 | Lakes Wellness Center LLC | Psychologist | 3248 Stevens Ave, Minneapolis, MN 55408-3214 | 2015-11-24 |
| Find all providers in MINNEAPOLIS | ||||
| City | MINNEAPOLIS |
| Zip Code | 55407 |
Please comment or provide details below to improve the information on DR. DANA BRANDENBURG.
| 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.