KYLE BRAULICK (NPI# 1932502267) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932502267 |
| Entity Type | Individual |
| Full Name | KYLE BRAULICK |
| Practice Address |
5025 Edinburgh Way Big Lake MN 55309-8271 |
| Practice Telephone | 5072766102 |
| Enumeration Date | 2014-10-01 |
| Last Update Date | 2014-10-01 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2081S0010X |
Physical Medicine & Rehabilitation Specialization: Sports Medicine |
2000003555 | MN | Allopathic & Osteopathic Physicians |
| Street Address |
5025 EDINBURGH WAY |
| City | BIG LAKE |
| State | MN |
| Zip Code | 55309-8271 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356986475 | Barbro E Strom Langley | Technician | 16901 River View Cir, Big Lake, MN 55309 | 2019-11-13 |
| 1629589544 | Pdg, Pa | Clinic/Center | 16991 198th Ave Nw, Big Lake, MN 55309 | 2017-10-18 |
| 1669821765 | Laura Ann Dill | Dentist | 290 Eagle Lake Rd N, Big Lake, MN 55309 | 2016-06-09 |
| 1295008068 | Cherrywood Advanced Living, LLC | Assisted Living Facility | 171 Henry Road, Big Lake, MN 55309 | 2012-02-09 |
| 1013280882 | Cherrywood Advanced Living, LLC | Assisted Living Facility | 177 Henry Road, Big Lake, MN 55309 | 2012-02-09 |
| 1760704712 | Mary Ellen Venzke | Adult Companion | 19729 183rd Avenue, Big Lake, MN 55309 | 2010-02-18 |
| 1174700611 | Country Services Inc | Case Management | 641 Park Ave E, Big Lake, MN 55309 | 2008-01-28 |
| 1942481593 | Monticello Dental Group | Dentist | 20460 Co. Rd.11 Nw, Big Lake, MN 55309 | 2007-11-23 |
| 1336367242 | Family Prospective Resources, Inc | Marriage & Family Therapist | 35 Lake St So, Big Lake, MN 55309 | 2007-04-23 |
| 1598983470 | Jennifer Ann Lawrence | Marriage & Family Therapist | 35 Lake Street South #200, Big Lake, MN 55309 | 2007-04-23 |
| Find all providers in zip 55309 | ||||
| Taxonomy Code | 2081S0010X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Physical Medicine & Rehabilitation |
| Specialization | Sports Medicine |
| A physician who specializes in Sports Medicine is responsible for continuous care related to the enhancement of health and fitness as well as the prevention of injury and illness. The specialist possesses knowledge and experience in the promotion of wellness and the prevention of injury from many areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation and injuries. It is the goal of a Sports Medicine specialist to improve the healthcare of the individual engaged in physical exercise. |
| Notes: Source: American Board of Medical Specialties, 2009. www.abms.org [7/1/2009: definition added] |
| 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 |
| 1902310154 | Dorothy Jane Hanna | Physical Medicine & Rehabilitation | 10939 Quebec Ave N, Champlin, MN 55316-3261 | 2017-11-27 |
| 1790020949 | Shelby N Kenison | Physical Medicine & Rehabilitation | 28675 740th Ave, Clarks Grove, MN 56016-4041 | 2012-11-29 |
| 1770806374 | Kevin Neil Johnson | Physical Medicine & Rehabilitation | 9913 214th St W Ste B, Lakeville, MN 55044-1914 | 2010-03-10 |
| 1962069864 | Allyson Carol Maynard | Physical Medicine & Rehabilitation | 800 Prairie Center Dr Ste 230, Eden Prairie, MN 55344-7308 | 2019-05-26 |
| 1831672492 | Nathaniel Erik Thomsen | Physical Medicine & Rehabilitation | 300 S Bruce St, Marshall, MN 56258-1934 | 2018-09-10 |
| 1023517364 | Hannah Rhiannon Salisbury | Physical Medicine & Rehabilitation | 3900 Bethel Dr, Arden Hills, MN 55112-6902 | 2018-02-01 |
| 1386006682 | Allison Nicole Schroeder | Physical Medicine & Rehabilitation | 200 1st St Sw, Rochester, MN 55905-0001 | 2016-03-25 |
| 1235530890 | Wade Johnson | Physical Medicine & Rehabilitation | 1025 Marsh St, Mankato, MN 56001-4752 | 2014-09-14 |
| 1063758290 | Katherine N Nanos | Physical Medicine & Rehabilitation | 200 1st St Sw, Rochester, MN 55905-0001 | 2012-12-16 |
| Find all providers with the same taxonomy | ||||
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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.