BRYAN CANNON MD NPI 1942380373

NPI Information

  • NPI: 1942380373
  • Provider Name: BRYAN CANNON, MD
  • Classification: Pediatrics - 2080P0202X
  • Specialization: Pediatric Cardiology
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 200 1ST ST SW
    ROCHESTER, MN
    ZIP 55905
  • Phone: (507) 284-3297

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NPI Details

Bryan Cannon, MD is a pediatric cardiology pediatrics in Rochester, MN with 30 years of experience. The provider is a pediatric cardiologist provides comprehensive care to patients with cardiovascular problems. This specialist is skilled in selecting, performing and evaluating the structural and functional assessment of the heart and blood vessels, and the clinical evaluation of cardiovascular disease. Bryan Cannon, MD NPI is 1942380373. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: UNIVERSITY OF TEXAS SOUTHWESTERN MEDICAL SCHOOL AT DALLAS
Graduation Year:1995

The provider's business location address is:

200 1ST ST SW
ROCHESTER, MN
ZIP 55905-001
Phone: (507) 284-3297
Fax: (507) 284-3968

The NPI 1942380373 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.

  • Pacemaker insertion or repair (HCPCS:NAN10)

The enumeration date for this NPI number is 10/17/2006 and was last updated on 10/7/2024.

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
1207RC0001XInternal MedicineClinical Cardiac Electrophysiology53291MINNESOTANo
22080P0202XPediatricsPediatric CardiologyK1982TEXASNo
32080P0202XPediatricsPediatric Cardiology41451IOWANo
42080P0202XPediatricsPediatric Cardiology55005WISCONSINNo
52080P0202XPediatricsPediatric Cardiology53291MINNESOTAYes

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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