MR. BRYAN MOHR DPM NPI 1043215528

NPI Information

NPI: 1043215528
Provider Name: MR. BRYAN MOHR, DPM
Classification: Podiatrist - 213E00000X
Entity Type: Individual
PECOS Registration: Yes
Address: 6625 LYNDALE AVE S STE 105
RICHFIELD, MN
ZIP 55423
Phone: (612) 788-8778

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NPI Details

MR. Bryan Mohr, DPM is a podiatrist in Richfield, MN with 28 years of experience. The provider is a podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. MR. Bryan Mohr, DPM NPI is 1043215528. 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:

6625 LYNDALE AVE S STE 105
RICHFIELD, MN
ZIP 55423-673
Phone: (612) 788-8778
Fax: (612) 869-3473

The NPI 1043215528 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).

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

Provision of covid-19 test, nonprescription self-administered and self-collected use, fda approved, authorized or cleared, one test count (HCPCS:K1034)
New patient custodial care facility, group care, or assisted living visit, typically 20 minutes (HCPCS:99324)
Removal of fingernails or toenails, 6 or more nails (HCPCS:11721)
Removal of noncancer thickened skin growth, 1 growth (HCPCS:11055)

The enumeration date for this NPI number is 6/20/2005 and was last updated on 4/29/2020.

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
1	213E00000X	Podiatrist		631	MINNESOTA	Yes
2	213E00000X	Podiatrist		1164-25	WISCONSIN	No

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
1	148473700	MEDICAID	MINNESOTA
2	HP30542	OTHER	MINNESOTA	HEALTH PARTNERS
3	54B22MO	OTHER	MINNESOTA	BLUE CROSS
4	124307	OTHER	MINNESOTA	UCARE

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: 11/21/2025

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