NPI Details
Brayton Kiedrowski, D.O. is a sports medicine family medicine in Shakopee, MN with 9 years of experience. The provider is a family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the health care of the individual engaged in physical exercise (sports) whether as an individual or in team participation. Brayton Kiedrowski, D.O. NPI is 1770019796. The provider is registered as an individual entity type and is a multi-specialty group.
The NPPES NPI record indicates the provider is a male.
Education
Medical School: MIDWESTERN UNIVERSITY, CHICAGO COLLEGE OF OSTEOPATHIC MED
Graduation Year:2017
The provider's business location address is:
1700 SAINT FRANCIS AVE
SHAKOPEE, MN
ZIP 55379
Phone: (952) 831-8742
The NPI 1770019796 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 following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.
- Injection, triamcinolone acetonide, not otherwise specified, 10 mg (HCPCS:J3301)
- Aspiration and/or injection of fluid large joint using ultrasound guidance (HCPCS:20611)
- New patient office or other outpatient visit, 45-59 minutes (HCPCS:99204)
- New patient office or other outpatient visit, 30-44 minutes (HCPCS:99203)
- Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
- Aspiration and/or injection of fluid from large joint (HCPCS:20610)
- Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
- X-ray of knee, 4 or more views (HCPCS:73564)
- X-ray of shoulder, minimum of 2 views (HCPCS:73030)
- Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg (HCPCS:J0702)
- X-ray of ankle, minimum of 3 views (HCPCS:73610)
- X-ray of hip, 2-3 views (HCPCS:73502)
The enumeration date for this NPI number is 5/11/2017 and was last updated on 9/13/2024.
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 |
| 1 | 207Q00000X | Family Medicine | | 88752 | MONTANA | No |
| 2 | 207QS0010X | Family Medicine | Sports Medicine | 02006537A | INDIANA | No |
| 3 | 390200000X | Student in an Organized Health Care Education/Training Program | | | | No |
| 4 | 207QS0010X | Family Medicine | Sports Medicine | 77987 | MINNESOTA | Yes |