Bryan P Rolph (NPI# 1669463717, PAC ID# 9436185766) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NEPHROLOGY.
| Nation Provider ID (NPI) | 1669463717 |
| PAC ID by PECOS | 9436185766 |
| Professional Enrollment ID | I20050708000729 |
| Full Name | Bryan P Rolph |
| Organization Legal Name | CENTRACARE CLINIC |
| Address |
112 S Rum River Dr Princeton MN 55371-1816 |
| Phone Number | 8008356652 |
| Gender | M |
| Credential | MD |
| Medical School | CREIGHTON UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 1995 |
| Primary Specialty | NEPHROLOGY |
| Secondary Specialties | INTERNAL MEDICINE |
| Group Practice PAC ID | 2466363395 |
| Number of Group Practice Members | 601 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 240036 | ST CLOUD HOSPITAL |
| 241362 | CENTRACARE HEALTH - MONTICELLO |
| 241306 | RENVILLE COUNTY HOSPITAL AND CLINICS |
| 240141 | FAIRVIEW NORTHLAND REGIONAL HOSPITAL |
| 240080 | UNIVERSITY OF MINNESOTA MEDICAL CENTER, FAIRVIEW |
| Address | Phone | Organization |
|---|---|---|
| 7418 Forthun Rd, Baxter, MN 56425-8702 | 2182972048 | CENTRACARE CLINIC |
| 2024 S 6th St, Brainerd, MN 56401-4529 | 8005356652 | CENTRACARE CLINIC |
| 112 S Rum River Dr, Princeton, MN 55371-1816 | 8008356652 | CENTRACARE CLINIC |
| 1200 6th N Ave, Saint Cloud, MN 56303-2735 | 3202525131 | CENTRACARE CLINIC |
| 1200 6th Ave N, St Cloud, MN 56303-2735 | 3202525131 | CENTRACARE CLINIC |
| 1406 6th Ave N, St Cloud, MN 56303-1901 | 8008356652 | CENTRACARE CLINIC |
| Organization Legal Name | CENTRACARE CLINIC |
| Physicians | 630 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Brittany D Kirkeby | Family Medicine | Centracare Clinic | 30 Railroad Ave, Albany, MN 56307-9379 |
| Stephanie A Boysen | Nurse Practitioner | Centracare Clinic | 615 Nelson Dr Po Box, Suite 217, Clearwater, MN 55320 |
| Evan L Dyce | Nurse Practitioner | Centracare Clinic | 1200 6th N Ave, Saint Cloud, MN 56303-2735 |
| Janelle M Terhaar | Nurse Practitioner | Centracare Clinic | 20 9th St Se, Long Prairie, MN 56347-1404 |
| Craig B Tangen | Certified Registered Nurse Anesthetist (crna) | Centracare Clinic | 3701 12th St N, Suite 202, Saint Cloud, MN 56303-2253 |
| Katrina N Wherry | Family Medicine | Centracare Clinic | 1360 Elm St E, St Joseph, MN 56374-4694 |
| Ashley A Rood | Nurse Practitioner | Centracare Clinic | 113 Waite Ave S, Suite 101, Waite Park, MN 56387-1348 |
| Elizabeth Anne Phillips | Urology | Centracare Clinic | 2351 Connecticut S Ave, 200 Suite 200, Sartell, MN 56377-2477 |
| Michelle L Jones | Nurse Practitioner | Centracare Clinic | 161 Glen St, Suite 101, Foley, MN 56329-4514 |
| Erin F Osmundson | Nurse Practitioner | Centracare Clinic | 500 Park St E, Annandale, MN 55302-3060 |
| Street Address |
112 S RUM RIVER DR |
| City | PRINCETON |
| State | MN |
| Zip | 55371-1816 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ronald F Huebsch | Optometry | 523 1st St, Princeton, MN 55371-1603 | |
| Steven C Vanhooser | Chiropractic | 209 Rum River Dr N, Suite 2, Princeton, MN 55371-1630 | |
| Tyler Paul Roehl | Chiropractic | 114 A Rum River Dr N, Princeton, MN 55371-1762 | |
| Christine R Tobin | Qualified Audiologist | 101 6th Ave S, Suite 109, Princeton, MN 55371-1852 | |
| Molly Levy | Nurse Practitioner | Fairview Health Services | 911 Northland Dr, Princeton, MN 55371-2172 |
| Nhat Anh Ngo | General Surgery | Fairview Health Services | 919 Northland Dr, Princeton, MN 55371-2172 |
| Robert Kent Brownawell | General Surgery | Fairview Health Services | 911 Northland Dr, Princeton, MN 55371-2172 |
| Bradley V Culver | Certified Registered Nurse Anesthetist (crna) | Central Minnesota Anesthesia Providers, Pa | 911 Northland Dr, Princeton, MN 55371-2172 |
| Peter J Wenzel | Certified Registered Nurse Anesthetist (crna) | Central Minnesota Anesthesia Providers, Pa | 911 Northland Dr, Princeton, MN 55371-2172 |
| Todd Daniel Fleming | Urology | Minnesota Urology Pa | 911 Northland Dr, Princeton, MN 55371-2172 |
| Find all physicians in zip 55371 | |||
| City | PRINCETON |
| Zip Code | 55371 |
| Specialty | NEPHROLOGY |
| City + Specialty | PRINCETON + NEPHROLOGY |
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| 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.