Brian D Roach (NPI# 1487941761, PAC ID# 0941424931) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is EMERGENCY MEDICINE.
| Nation Provider ID (NPI) | 1487941761 |
| PAC ID by PECOS | 0941424931 |
| Professional Enrollment ID | I20140613000331 |
| Full Name | Brian D Roach |
| Organization Legal Name | EMERGENCY PHYSICIANS PROFESSIONAL ASSOCIATION |
| Address |
7030 Valley Creek Plz Woodbury MN 55125-2267 |
| Phone Number | 6517897000 |
| Gender | M |
| Medical School | UNIVERSITY OF WISCONSIN MEDICAL SCHOOL |
| Graduation Year | 2011 |
| Primary Specialty | EMERGENCY MEDICINE |
| Group Practice PAC ID | 9537072657 |
| Number of Group Practice Members | 148 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 240207 | FAIRVIEW RIDGES HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 4300 Marketpointe Dr, Suite 100, Bloomington, MN 55435-5435 | 9528359880 | EMERGENCY PHYSICIANS PROFESSIONAL ASSOCIATION |
| 7030 Valley Creek Plz, Woodbury, MN 55125-2267 | 6517897000 | EMERGENCY PHYSICIANS PROFESSIONAL ASSOCIATION |
| Organization Legal Name | EMERGENCY PHYSICIANS PROFESSIONAL ASSOCIATION |
| Physicians | 159 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Amy J Luell | Physician Assistant | Emergency Physicians Professional Association | 7030 Valley Creek Plz, Woodbury, MN 55125-2267 |
| Jodi M Greenlaw | Emergency Medicine | Emergency Physicians Professional Association | 3010 Denmark Ave, Eagan, MN 55121-2271 |
| Holly L Schrupp Berg | Emergency Medicine | Emergency Physicians Professional Association | 4300 Marketpointe Dr, Suite 100, Bloomington, MN 55435-5435 |
| Jenny C Bauer | Nurse Practitioner | Emergency Physicians Professional Association | 1159 County Rd E E, Vadnais Heights, MN 55110-5183 |
| Paul J Bock | Emergency Medicine | Emergency Physicians Professional Association | 5435 Feltl Rd, Minnetonka, MN 55343-7983 |
| Reginald D Lewis | Physician Assistant | Emergency Physicians Professional Association | 1159 County Rd E E, Vadnais Heights, MN 55110-5183 |
| Haley E Johnson | Physician Assistant | Emergency Physicians Professional Association | 1159 County Rd E E, Vadnais Heights, MN 55110-5183 |
| Andrew H Bauer | Emergency Medicine | Emergency Physicians Professional Association | 4300 Marketpointe Dr, Suite 100, Bloomington, MN 55435-5435 |
| Kurt A Hessen | Emergency Medicine | Emergency Physicians Professional Association | 4300 Marketpointe Dr, Suite 100, Bloomington, MN 55435-5435 |
| Carly N Smith | Physician Assistant | Emergency Physicians Professional Association | 4300 Marketpointe Dr, Suite 100, Bloomington, MN 55435-5435 |
| Street Address |
7030 VALLEY CREEK PLZ |
| City | WOODBURY |
| State | MN |
| Zip | 55125-2267 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Amy J Luell | Physician Assistant | Emergency Physicians Professional Association | 7030 Valley Creek Plz, Woodbury, MN 55125-2267 |
| Edgar R Austria | Emergency Medicine | Emergency Physicians Professional Association | 7030 Valley Creek Plz, Woodbury, MN 55125-2267 |
| Joseph P Lynch | Emergency Medicine | Emergency Physicians Professional Association | 7030 Valley Creek Plz, Woodbury, MN 55125-2267 |
| Robert J Anderson | Emergency Medicine | Emergency Physicians Professional Association | 7030 Valley Creek Plz, Woodbury, MN 55125-2267 |
| Laura K Doten | Nurse Practitioner | Emergency Physicians Professional Association | 7030 Valley Creek Plz, Woodbury, MN 55125-2267 |
| Jenny L Thacker | Emergency Medicine | Emergency Physicians Professional Association | 7030 Valley Creek Plz, Woodbury, MN 55125-2267 |
| Christopher M Farnan | Emergency Medicine | Emergency Physicians Professional Association | 7030 Valley Creek Plz, Woodbury, MN 55125-2267 |
| Moriah R Novacinski | Physician Assistant | Emergency Physicians Professional Association | 7030 Valley Creek Plz, Woodbury, MN 55125-2267 |
| Scott A Bentz | Emergency Medicine | Emergency Physicians Professional Association | 7030 Valley Creek Plz, Woodbury, MN 55125-2267 |
| Jonathan T Lineer | Emergency Medicine | Emergency Physicians Professional Association | 7030 Valley Creek Plz, Woodbury, MN 55125-2267 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kassia E Coleman | Clinical Social Worker | Better Outlook LLC | 6053 Hudson Rd, Suite 220, Woodbury, MN 55125-1000 |
| Elvis T Starllone | Nurse Practitioner | Better Outlook LLC | 6053 Hudson Rd, Suite 220, Woodbury, MN 55125-1000 |
| Dasherline Cox Johnson | Psychologist, Clinical | 6043 Hudson Rd, Suite 355, Woodbury, MN 55125-1017 | |
| Rosella Collins Puoch | Clinical Social Worker | 6043 Hudson Rd, Woodbury, MN 55125-1020 | |
| Kaitlin D Buckner | Physician Assistant | Valhalla Place Clinic Pa | 6043 Hudson Rd, Suite 220, Woodbury, MN 55125-1033 |
| Rebekah J Wilson | Physician Assistant | Valhalla Place Clinic Pa | 6043 Hudson Rd, Suite 220, Woodbury, MN 55125-1033 |
| Victoria M Elmer | Addiction Medicine | Valhalla Place Clinic Pa | 6043 Hudson Rd, Suite 220, Woodbury, MN 55125-1033 |
| Shelley R Stepan | Physician Assistant | Valhalla Place Clinic Pa | 6043 Hudson Rd, Suite 220, Woodbury, MN 55125-1033 |
| Richard P Lamon | Addiction Medicine | Valhalla Place Clinic Pa | 6043 Hudson Rd, Suite 220, Woodbury, MN 55125-1033 |
| Kelly J Adams | Physician Assistant | Valhalla Place Clinic Pa | 6043 Hudson Rd, Suite 220, Woodbury, MN 55125-1033 |
| Find all physicians in zip 55125 | |||
| City | WOODBURY |
| Zip Code | 55125 |
| Specialty | EMERGENCY MEDICINE |
| City + Specialty | WOODBURY + EMERGENCY MEDICINE |
Please comment or provide details below to improve the information on Brian D Roach.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.