Brian Lee Walters (NPI# 1114241882, PAC ID# 8628203502) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is ORTHOPEDIC SURGERY.
| Nation Provider ID (NPI) | 1114241882 |
| PAC ID by PECOS | 8628203502 |
| Professional Enrollment ID | I20151209002182 |
| Full Name | Brian Lee Walters |
| Organization Legal Name | PARK NICOLLET CLINIC |
| Address |
14000 Fairview Dr Burnsville MN 55337-5713 |
| Phone Number | 9529938700 |
| Gender | M |
| Graduation Year | 2008 |
| Primary Specialty | ORTHOPEDIC SURGERY |
| Secondary Specialties | SPORTS MEDICINE |
| 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 |
| 240104 | ST FRANCIS REGIONAL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 14000 Fairview Dr, Burnsville, MN 55337-5713 | 9529938700 | 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 |
| 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 |
| Kristine L Gehrmann | Physician Assistant | Park Nicollet Clinic | 12142 Business Park Blvd N, Champlin, MN 55316-4525 |
| Street Address |
14000 FAIRVIEW DR |
| City | BURNSVILLE |
| State | MN |
| Zip | 55337-5713 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Steven R Quiring | Physical Therapy | Park Nicollet Clinic | 14000 Fairview Dr, Burnsville, MN 55337-5713 |
| Christina J Manders | Family Medicine | Park Nicollet Clinic | 14000 Fairview Dr, Burnsville, MN 55337-5713 |
| George M Logan | Gastroenterology | Park Nicollet Clinic | 14000 Fairview Dr, Burnsville, MN 55337-5713 |
| Timothy P Kinney | Gastroenterology | Park Nicollet Clinic | 14000 Fairview Dr, Burnsville, MN 55337-5713 |
| Kristen A Akervik | Physical Therapy | Park Nicollet Clinic | 14000 Fairview Dr, Burnsville, MN 55337-5713 |
| Marc Palen | Physical Therapy | Park Nicollet Clinic | 14000 Fairview Dr, Burnsville, MN 55337-5713 |
| Allison R Coindreau | Nurse Practitioner | Park Nicollet Clinic | 14000 Fairview Dr, Burnsville, MN 55337-5713 |
| Stefan S Buetow | Physical Medicine and Rehabilitation | Park Nicollet Clinic | 14000 Fairview Dr, Burnsville, MN 55337-5713 |
| Peter K Lee | Dermatology | Park Nicollet Clinic | 14000 Fairview Dr, Burnsville, MN 55337-5713 |
| Chitra Devi Anangur Ganesan | Hematology/oncology | Park Nicollet Clinic | 14000 Fairview Dr, Burnsville, MN 55337-5713 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Hannah M Brooks | Physician Assistant | Colon and Rectal Surgery Associates Ltd | 325 Oakridge Professional Bldg, 625 E Nicollet Blvd, Burnsville, MN 55337 |
| Marc C Osborne | Colorectal Surgery (proctology) | Colon and Rectal Surgery Associates Ltd | 325 Oakridge Professional Bldg, 625 E Nicollet Blvd, Burnsville, MN 55337 |
| Matveh Panya | Physician Assistant | Medical Addiction Treatment Clinic, PC | 2414 E 117th St, Burnsville, MN 55337-1269 |
| Thomas Alan Anderson | Chiropractic | Marty Mcdonald Health Services Pa | 2424 E 117th St, Burnsville, MN 55337-1269 |
| Lindsay A Bergstreser | Physician Assistant | Valley Pain Relief and Wellness Center Pllc | 2440 E 117th St, Burnsville, MN 55337-1269 |
| Christine I Lynch | Chiropractic | Marty Mcdonald Health Services Pa | 2424 E 117th St, Burnsville, MN 55337-1269 |
| Stacy X Chang | Nurse Practitioner | Valley Pain Relief and Wellness Center Pllc | 2440 E 117th St, Burnsville, MN 55337-1269 |
| Kristina Marie Fruechtl | Chiropractic | Marty Mcdonald Health Services Pa | 2424 E 117th St, Burnsville, MN 55337-1269 |
| Christina Kern | Nurse Practitioner | Valley Pain Relief and Wellness Center Pllc | 2440 E 117th St, Burnsville, MN 55337-1269 |
| Ashwin V George | Addiction Medicine | Valley Pain Relief and Wellness Center Pllc | 2440 E 117th St, Burnsville, MN 55337-1269 |
| Find all physicians in zip 55337 | |||
| City | BURNSVILLE |
| Zip Code | 55337 |
| Specialty | ORTHOPEDIC SURGERY |
| City + Specialty | BURNSVILLE + ORTHOPEDIC SURGERY |
Please comment or provide details below to improve the information on Brian Lee Walters.
| 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.