Dr Bradley Allan Holmberg, BS, DDS is a medicare enrolled "Dentist - General Practice" provider in Eagle Lake, Minnesota. His current practice location is
104 Plainview Street, Eagle Lake, Minnesota. You can reach out to his office (for appointments etc.) via phone at
(507) 257-3800.
Dr Bradley Allan Holmberg is licensed to practice in Minnesota (license number 9088) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1770653446.
Healthcare Provider's Profile
Full Name | Dr Bradley Allan Holmberg |
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Gender | Male |
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Speciality | Dentist - General Practice |
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Location | 104 Plainview Street, Eagle Lake, Minnesota |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1770653446
- Provider Enumeration Date: 11/09/2006
- Last Update Date: 07/08/2007
Medicare PECOS Information:
- PECOS PAC ID: 1254635428
- Enrollment ID: I20160209000443
Medical Identifiers
Medical identifiers for Dr Bradley Allan Holmberg such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1770653446 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1223G0001X | Dentist - General Practice | 9088 (Minnesota) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Bradley Allan Holmberg is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Dr Bradley Allan Holmberg, BS, DDS 221 Crestwood Dr, North Mankato, MN 56003-3514 Ph: (507) 345-4854 | Dr Bradley Allan Holmberg, BS, DDS 104 Plainview Street, Eagle Lake, MN 56024 Ph: (507) 257-3800 |
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