GRADY HEDSTROM MD NPI 1275945784

NPI Information

  • NPI: 1275945784
  • Provider Name: GRADY HEDSTROM, MD
  • Classification: Internal Medicine - 207RP1001X
  • Specialization: Pulmonary Disease
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 920 E 28TH ST STE 700
    MINNEAPOLIS, MN
    ZIP 55407
  • Phone: (952) 852-5320

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NPI Details

Grady Hedstrom, MD is a pulmonary disease internal medicine in Minneapolis, MN with 12 years of experience. The provider is an internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs. Grady Hedstrom, MD NPI is 1275945784. 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:

920 E 28TH ST STE 700
MINNEAPOLIS, MN
ZIP 55407-163
Phone: (952) 852-5320

The NPI 1275945784 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 6/2/2014 and was last updated on 7/25/2024.

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
1207R00000XInternal Medicine036144132ILLINOISNo
2207RC0200XInternal MedicineCritical Care Medicine036144132ILLINOISNo
3207R00000XInternal Medicine125064596ILLINOISNo
4207RP1001XInternal MedicinePulmonary Disease036144132ILLINOISNo
5207RP1001XInternal MedicinePulmonary Disease71475MINNESOTAYes

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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