MARK BRYAN ROTHER BC-HIS NPI 1093952657

NPI Information

  • NPI: 1093952657
  • Provider Name: MARK BRYAN ROTHER, BC-HIS
  • Classification: Specialist - 174400000X
  • Entity Type: Individual
  • Address: 12751 COUNTY ROAD 5
    SUITE 198
    BURNSVILLE, MN
    ZIP 55337
  • Phone: (952) 808-9079

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NPI Details

Mark Bryan Rother, BC-HIS is a specialist in Burnsville, MN. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. Mark Bryan Rother, BC-HIS NPI is 1093952657. 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:

12751 COUNTY ROAD 5
SUITE 198
BURNSVILLE, MN
ZIP 55337-263
Phone: (952) 808-9079
Fax: (952) 882-9190

The enumeration date for this NPI number is 1/19/2009 and was last updated on 1/19/2009.

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
1174400000XSpecialist2287MINNESOTAYes

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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