DR. BRUCE IRA IDELKOPE M.D. NPI 1083661680

NPI Information

NPI: 1083661680
Provider Name: DR. BRUCE IRA IDELKOPE, M.D.
Classification: Psychiatry & Neurology - 2084N0400X
Entity Type: Individual

Specialization: Neurology

PECOS Registration: Yes

Address:
3400 W 66TH ST
SUITE 150
EDINA, MN
ZIP 55435
Phone: (952) 920-7200
Get Directions

DR. Bruce Ira Idelkope, M.D. is a neurology psychiatry neurology in Edina, MN with 50 years of experience. The provider is a Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. DR. Bruce Ira Idelkope, M.D. NPI is 1083661680. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: UNIVERSITY OF MINNESOTA MEDICAL SCHOOL
Graduation Year:1974

The provider's business location address is:

3400 W 66TH ST
SUITE 150
EDINA, MN
ZIP 55435-109
Phone: (952) 920-7200
Fax: (763) 302-4234

The NPI 1083661680 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 5/28/2006 and was last updated on 12/2/2011.

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	2084N0400X	Psychiatry & Neurology	Neurology	22536	MINNESOTA	Yes

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	07620ID	OTHER	MINNESOTA	BCBS OF MN
2	130005771	OTHER	MINNESOTA	RAILROAD MEDICARE
3	0501641	OTHER	MINNESOTA	MEDICA
4	HP13585	OTHER	MINNESOTA	HEALTHPARTNERS
5	30203900	MEDICAID	MINNESOTA
6	0265008	OTHER	MINNESOTA	PREFERRED ONE
7	100288C029	OTHER	MINNESOTA	UCARE
8	25828	OTHER	MINNESOTA	AMERICA'S PPO
9	489092200	MEDICAID	MINNESOTA
10	130000065	MEDICARE ID-TYPE UNSPECIFIED	MINNESOTA	MN MEDICARE
11	A94084	MEDICARE UPIN	MINNESOTA

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: 4/28/2024

NPI Synchronization or Removal

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