Beth M Brandenburg (NPI# 1104961143, PAC ID# 3678767084) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PSYCHIATRY.
| Nation Provider ID (NPI) | 1104961143 |
| PAC ID by PECOS | 3678767084 |
| Professional Enrollment ID | I20101029000902 |
| Full Name | Beth M Brandenburg |
| Organization Legal Name | PARK NICOLLET CLINIC |
| Address |
2550 University Ave W Saint Paul MN 55114-1052 |
| Phone Number | 9529936200 |
| Gender | F |
| Medical School | UNIVERSITY OF IOWA COLLEGE OF MEDICINE |
| Graduation Year | 2006 |
| Primary Specialty | PSYCHIATRY |
| Group Practice PAC ID | 7911819438 |
| Number of Group Practice Members | 1323 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 240053 | PARK NICOLLET METHODIST HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 2550 University Ave W, Saint Paul, MN 55114-1052 | 9529936200 | PARK NICOLLET CLINIC |
| 3525 Monterey Dr, St Louis Park, MN 55416-5275 | 9529931990 | PARK NICOLLET CLINIC |
| Organization Legal Name | PARK NICOLLET CLINIC |
| Physicians | 1272 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Grace Marie Irish | Nurse Practitioner | Park Nicollet Clinic | 3850 Park Nicollet Blvd, St Louis Park, MN 55416-2527 |
| Johanna Dijkstal Beebe | Ophthalmology | Park Nicollet Clinic | 250 Central Ave N, Wayzata, MN 55391-1206 |
| Lonzale Ramsey | Family Medicine | Park Nicollet Clinic | 2001 Blaisdell Ave, Minneapolis, MN 55404-2414 |
| Kurt Wolff | Physical Therapy | Park Nicollet Clinic | 15800 N 95th Ave, Maple Grove, MN 55369-4400 |
| Alexandra E Wells | Internal Medicine | Park Nicollet Clinic | 13688 Rogers Dr, Rogers, MN 55374-4916 |
| Mysoon M Ayuob | Family Medicine | Park Nicollet Clinic | 15111 Twelve Oaks Ctr Dr, Minnetonka, MN 55305-5201 |
| Brian Lee Walters | Orthopedic Surgery | Park Nicollet Clinic | 14000 Fairview Dr, Burnsville, MN 55337-5713 |
| Jared J Mell | Family Medicine | Park Nicollet Clinic | 4951 Excelsior Blvd, St Louis Park, MN 55416-3033 |
| Sean M Reardon | Clinical Psychologist | Park Nicollet Clinic | 9555 Upland N Ln, Maple Grove, MN 55369-4485 |
| Jeffrey J Mohr | Physician Assistant | Park Nicollet Clinic | 1885 Plaza Dr, Eagan, MN 55122-2979 |
| Street Address |
2550 UNIVERSITY AVE W |
| City | SAINT PAUL |
| State | MN |
| Zip | 55114-1052 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Miles J Belgrade | Neurology | Minnesota Head and Neck Pain Clinic, Pa | 2550 University Ave W, Suite 189s, Saint Paul, MN 55114-2001 |
| Shanti Kaimal | Oral Surgery | Minnesota Head and Neck Pain Clinic, Pa | 2550 University Ave W, Suite 189s, Saint Paul, MN 55114-2001 |
| Amanda N Delsman | Psychologist, Clinical | Park Nicollet Clinic | 2550 University Ave W, Saint Paul, MN 55114-1052 |
| Lois J Kehl | Oral Surgery | Minnesota Head and Neck Pain Clinic, Pa | 2550 University Ave W, Suite 189s, Saint Paul, MN 55114-2001 |
| Eric L Schiffman | Oral Surgery | Minnesota Head and Neck Pain Clinic, Pa | 2550 University Ave W, Suite 189s, Saint Paul, MN 55114-2001 |
| Karen L Nelson | Psychologist, Clinical | Park Nicollet Clinic | 2550 University Ave W, Saint Paul, MN 55114-1052 |
| Sarah L Lazarewicz | Clinical Social Worker | Park Nicollet Clinic | 2550 University Ave W, Saint Paul, MN 55114-1052 |
| Cory Herman | Oral Surgery | Minnesota Head and Neck Pain Clinic, Pa | 2550 University Ave W, Suite 189s, Saint Paul, MN 55114-2001 |
| James R Fricton | Oral Surgery | Minnesota Head and Neck Pain Clinic, Pa | 2550 University Ave W, Suite 189s, Saint Paul, MN 55114-2001 |
| Michael S Mrosak | Dentist | Minnesota Head and Neck Pain Clinic, Pa | 2550 University Ave W, Suite 189s, Saint Paul, MN 55114-2001 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Natalie Dahlgren | Certified Clinical Nurse Specialist (cns) | Park Nicollet Clinic | 2550 University Ave W, Saint Paul, MN 55114-1052 |
| Miriam Rebecca Koch Gerber | Psychologist, Clinical | Park Nicollet Clinic | 2550 University Ave W, Saint Paul, MN 55114-1052 |
| Erin T Fredrick-gray | Psychologist, Clinical | Park Nicollet Clinic | 2550 University Ave W, Saint Paul, MN 55114-1052 |
| Kathryn R Brush | Psychologist, Clinical | Park Nicollet Clinic | 2550 University Ave W, Saint Paul, MN 55114-1052 |
| Mark S Paller | Nephrology | University of Minnesota Physicians | 1045 Westgate Dr, Suite 90, Saint Paul, MN 55114-1079 |
| Samuel Robert Alexander | Chiropractic | Institute for Orthopedics and Chiropractic, Pllc | 2550 University W Ave, 143n, Saint Paul, MN 55114-1098 |
| Chad L Hendrickson | Chiropractic | Institute for Orthopedics and Chiropractic, Pllc | 2550 University W Ave, 143n, Saint Paul, MN 55114-1098 |
| Kip Smith | Physical Therapy | Institute for Orthopedics and Chiropractic, Pllc | 2550 University W Ave, 143n, Saint Paul, MN 55114-1098 |
| Dona L Mathews | Psychologist, Clinical | 2550 University Ave W, Suite 163s, Saint Paul, MN 55114-1098 | |
| Kim Marie Ledermann | Oral Surgery | Minnesota Craniofacial Center P.C. | 2550 University W Ave, 143n, Saint Paul, MN 55114-1098 |
| Find all physicians in zip 55114 | |||
| City | SAINT PAUL |
| Zip Code | 55114 |
| Specialty | PSYCHIATRY |
| City + Specialty | SAINT PAUL + PSYCHIATRY |
Please comment or provide details below to improve the information on Beth M Brandenburg.
| 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.