DR. KATHLEEN DWYER BROOKS M.D. NPI 1245266279

NPI Information

NPI: 1245266279
Provider Name: DR. KATHLEEN DWYER BROOKS, M.D.
Classification: Family Medicine - 207Q00000X
Entity Type: Individual

PECOS Registration: Yes

Address:
UMPHYSICIANS BROADWAY FAMILY MEDICINE
1020 WEST BROADWAY
MINNEAPOLIS, MN
ZIP 55411
Phone: (612) 302-8200
Get Directions

DR. Kathleen Dwyer Brooks, M.D. is a family medicine in Minneapolis, MN. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. DR. Kathleen Dwyer Brooks, M.D. NPI is 1245266279. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

UMPHYSICIANS BROADWAY FAMILY MEDICINE
1020 WEST BROADWAY
MINNEAPOLIS, MN
ZIP 55411
Phone: (612) 302-8200
Fax: (612) 302-8275

The NPI 1245266279 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 6/23/2006 and was last updated on 7/9/2007.

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	207Q00000X	Family Medicine		26201	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	HP31006	OTHER	MINNESOTA	HEALTHPARTNERS
2	01-20983	OTHER	MINNESOTA	MEDICA CHOICE
3	251P1BR	OTHER	MINNESOTA	BCBS
4	109315	OTHER	MINNESOTA	UCARE
5	C36275	MEDICARE UPIN	MINNESOTA
6	01-21776	OTHER	MINNESOTA	MEDICA CHOICE&PRIM BFM
7	A070	OTHER	MINNESOTA	CHAMPUS
8	0592204	MEDICAID	IOWA
9	0144245	MEDICAID	MONTANA
10	01-12519	OTHER	MINNESOTA	MEDICA PRIMARY
11	511K0BR	OTHER	MINNESOTA	BCBS BFM
12	21592	OTHER	MINNESOTA	ARAZ
13	0549006	OTHER	MINNESOTA	PREFERRED ONE
14	34065600	MEDICAID	WISCONSIN

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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