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JUSTIN T CONLEY MD NPI 1033135298


NPI Information

NPI: 1033135298
Provider Name: JUSTIN T CONLEY, MD
Classification: Pediatrics - 208000000X
Entity Type: Individual

PECOS Registration: Yes

Address:
610 30TH AVE W
ALEXANDRIA, MN
ZIP 56308
Phone: (320) 763-5123
Get Directions

Justin T Conley, MD is a pediatrics in Alexandria, MN. The provider is a pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. Justin T Conley, MD NPI is 1033135298. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

610 30TH AVE W
ALEXANDRIA, MN
ZIP 56308-426
Phone: (320) 763-5123
Fax: (320) 763-7883

The NPI 1033135298 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 7/14/2006 and was last updated on 10/27/2016.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1208000000XPediatrics4301111066MICHIGANNo
2208000000XPediatrics48867MINNESOTAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1623E1COOTHERMARYLANDMN BCBS #
2010437100MEDICAIDMARYLAND
3HP69889OTHERMINNESOTAHEALTHPARTNERS #
4I59192MEDICARE UPINMINNESOTA
5370003203MEDICARE ID-TYPE UNSPECIFIEDMINNESOTAMN MEDICARE PIN #
66697670002MEDICARE NSCMINNESOTA
7135595OTHERMINNESOTAUCARE #
813904MEDICAIDMINNESOTA
927253OTHERMINNESOTANDBCBS #
101033135298OTHERMINNESOTAPRIMEWEST HEALTHCARE
11370003436MEDICARE PINMINNESOTA
120012-0006861OTHERMINNESOTAMEDICA
131203709OTHERMINNESOTAMEDICA #

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.