Dr Kent K Bratten, MD | |
7920 Old Cedar Ave S, Bloomington, MN 55425-1207 | |
(952) 428-1800 | |
Not Available |
Full Name | Dr Kent K Bratten |
---|---|
Gender | Male |
Speciality | Internal Medicine |
Location | 7920 Old Cedar Ave S, Bloomington, Minnesota |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1841277043 | NPI | - | NPPES |
462818700 | Medicaid | MN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 37952 (Minnesota) | Primary |
Entity Name | Park Nicollet Clinic |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1780621904 PECOS PAC ID: 7911819438 Enrollment ID: O20031104000046 |
Mailing Address | Practice Location Address |
---|---|
Dr Kent K Bratten, MD 2925 Chicago Ave, Minneapolis, MN 55407-1321 Ph: (612) 262-5000 | Dr Kent K Bratten, MD 7920 Old Cedar Ave S, Bloomington, MN 55425-1207 Ph: (952) 428-1800 |
Constance Crane, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 7920 Old Cedar Ave S, Bloomington, MN 55425 Phone: 952-851-1000 | |
Jerome C Siy, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 8170 33rd Ave S, Mc21110q, Bloomington, MN 55425 Phone: 651-254-9594 Fax: 651-254-3662 | |
Christofer A. Smith, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 600 W 98th St, Bloomington, MN 55420 Phone: 952-885-6060 | |
William Shaffer, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 7920 Old Cedar Ave S, Bloomington, MN 55425 Phone: 952-428-1800 | |
Donald L Zogg, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 5705 W Old Shakopee Rd, Bloomington, MN 55437 Phone: 612-871-1145 | |
Randy Kimpell, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 7920 Old Cedar Ave S, Bloomington, MN 55425 Phone: 952-851-1000 | |
Jonathan D. Katz, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 600 W 98th St, Bloomington, MN 55420 Phone: 952-885-6060 |