MICHAEL STEPHEN BEVAN


Address: 825 Nicollet Mall Ste 517, Minneapolis, MN 55402
Phone: 6127888778

MICHAEL STEPHEN BEVAN (NPI# 1629389341) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1629389341
Entity Type Individual
Full Name MICHAEL STEPHEN BEVAN
Credential DPM
Practice Address 825 Nicollet Mall Ste 517
Minneapolis
MN 55402
Mailing Address 7770 Dell Rd
Ste 140
Chanhassen
MN 55317-9316
Practice Telephone 6127888778
Mailing Telephone 9529349360
Mailing Fax Number 9529750118
Enumeration Date 2010-06-28
Last Update Date 2019-02-15
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 213EP1101X Podiatrist
Specialization: Primary Podiatric Medicine
919 MN Podiatric Medicine & Surgery Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
MN 1629389341 05

Provider Secondary Practice Location

Address Telephone Number Fax Number
825 Nicollet Mall Ste 517, Minneapolis, MN 55402 6127888778

Office Location

Street Address 825 NICOLLET MALL STE 517
City MINNEAPOLIS
State MN
Zip Code 55402

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1164040457 Colby Orthodontics LLC Dentist 9th St. and Nicollet Ave. Suite 531, Minneapolis, MN 55402 2020-07-13
1124684725 Eric James Holthaus Dentist 825 Nicollet Ave #1025, Minneapolis, MN 55402 2019-05-20
1194216598 Sean Templeman Optometrist 825 Nicollet Mall Fl 20, Minneapolis, MN 55402 2018-05-22
1124529417 Danielle Marie Kasprzak Social Worker 825 Nicollet Mall Ste 1005, Minneapolis, MN 55402 2018-02-22
1275073181 Yellow Coriander, Psc Nurse Practitioner 60 South 6th Street, Suite 2800, Minneapolis, MN 55402 2017-02-27
1780039263 Ursula Mcguckin Dentist 825 Nicollet Avenue #1025, Minneapolis, MN 55402 2016-05-03
1265891600 Carl Mothes Counselor 825 Nicollet Mall Ste 556, Minneapolis, MN 55402 2016-02-13
1295084309 Cardiology Prevention, LLC Clinic/Center 730 Second Ave South, Suite 295, Baker Center, Minneapolis, MN 55402 2012-09-05
1235368226 Anna Dickens Nurse Practitioner 902 2nd Ave S, Ste 400, Minneapolis, MN 55402 2009-07-10
1871760884 Metrocenter Chiropractic Pa Chiropractor 825 Nicollet Mall Suite #1845, Metrocenter Chiropractic Pa, Minneapolis, MN 55402 2008-05-09
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Taxonomy Information

Taxonomy Code 213EP1101X
Grouping Podiatric Medicine & Surgery Service Providers
Classification Podiatrist
Specialization Primary Podiatric Medicine

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1740544527 Aaron Daniel Corfield Podiatrist 909 Fulton St Se, Minneapolis, MN 55455-4800 2012-06-27
1154424489 Gregory Todd Rifleman Podiatrist 1 Veterans Drive, Minneapolis, MN 55417 2006-09-05
1942288980 Guy J Werkhoven Podiatrist 7801 E Bush Lake Rd Ste 400, Minneapolis, MN 55439-3113 2006-01-09

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1568595783 Stephen Bryan Wahman Podiatrist 1575 Sherwood Rd, Shoreview, MN 55126-8517 2007-03-14
1760465215 Minh Chau Margaret Nguyen Podiatrist 7600 France Ave S Ste 1100, Edina, MN 55435-5924 2005-11-29
1689655722 Michael B Debrule Podiatrist 6600 Lyndale Ave S, Suite#130, Richfield, MN 55423-3380 2005-11-07
1649279753 Thomas Joseph Holsinger Podiatrist 1527 Broadway St, Alexandria, MN 56308-2537 2005-07-20
1558898114 Kristofor James Kalvig Podiatrist 6625 Lyndale Ave S Ste 105, Richfield, MN 55423-2673 2017-05-15
1912286964 Otter Tail Podiatry P.C. Podiatrist 120 E Junius Ave, Fergus Falls, MN 56537-2819 2011-08-09
1134412802 Karimah Z Shabazz Podiatrist 6600 Lyndale Ave S Ste 130, Richfield, MN 55423-3398 2011-05-27
1760614390 Alissa Joy Redding Podiatrist 417 Franklin St S, Glenwood, MN 56334-1598 2009-08-15
1699968875 Michael B Debrule Dpm, Pa Podiatrist 301 N 3rd St, Marshall, MN 56258-1328 2007-08-22
1518177575 Onsite Podiatry, Inc. Podiatrist 6600 Lyndale Ave S, Suite 130, Richfield, MN 55423-3380 2007-05-22
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Competitor

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City MINNEAPOLIS
Zip Code 55402

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Dataset Information

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.

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