RANDALL SERCOMBE M.D. NPI 1699799007

NPI Information

NPI: 1699799007
Provider Name: RANDALL SERCOMBE, M.D.
Classification: Pediatrics - 208000000X
Entity Type: Individual
Address: 6545 FRANCE AVE S
SUITE 400
EDINA, MN
ZIP 55435
Phone: (952) 920-9191

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NPI Details

Randall Sercombe, M.D. is a pediatrics in Edina, MN. The provider is a pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. Randall Sercombe, M.D. NPI is 1699799007. 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:

6545 FRANCE AVE S
SUITE 400
EDINA, MN
ZIP 55435-131
Phone: (952) 920-9191
Fax: (952) 920-0232

The enumeration date for this NPI number is 7/27/2006 and was last updated on 7/8/2007.

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	208000000X	Pediatrics		36050	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	CP9021000008	OTHER		PREFERRED ONE
2	F52454	MEDICARE UPIN
3	1227878	OTHER		MEDICA
4	2M165SE	OTHER	MINNESOTA	BLUE CROSS BLUE SHIELD

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: 3/30/2025

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