Brooten Medical Center | |
111 Pleasant Avenue Brooten MN 56316 | |
(320) 346-2272 | |
(320) 346-2273 |
Full Name | Brooten Medical Center |
---|---|
Speciality | Family Medicine |
Location | 111 Pleasant Avenue, Brooten, Minnesota |
Authorized Official Name and Position | Kirk Stensrud (CEO) |
Authorized Official Contact | 3206342208 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Brooten Medical Center 111 Pleasant Avenue P.o. Box 69 Brooten MN 56316 Ph: (320) 346-2272 | Brooten Medical Center 111 Pleasant Avenue Brooten MN 56316 Ph: (320) 346-2272 |
NPI Number | 1255348223 |
---|---|
Provider Enumeration Date | 08/02/2006 |
Last Update Date | 07/18/2012 |
Medicare PECOS PAC ID | 5294789194 |
---|---|
Medicare Enrollment ID | O20050719000315 |
Identifier | Type | State | Issuer |
---|---|---|---|
1255348223 | NPI | - | NPPES |
966011900 | Medicaid | MN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Provider Name | Martin H Janning |
---|---|
Provider Type | Practitioner - Otolaryngology |
Provider Identifiers | NPI Number: 1396963922 PECOS PAC ID: 0749194991 Enrollment ID: I20031113000156 |
Provider Name | Holly J Gibson |
---|---|
Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
Provider Identifiers | NPI Number: 1598752123 PECOS PAC ID: 8022915271 Enrollment ID: I20031216000327 |
Provider Name | Gregory J Mohrenweiser |
---|---|
Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
Provider Identifiers | NPI Number: 1386797512 PECOS PAC ID: 8224001094 Enrollment ID: I20040818001363 |
Provider Name | Joseph A Schneiderhan |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1003859786 PECOS PAC ID: 3870566540 Enrollment ID: I20040819000753 |
Provider Name | Elizabeth A Ankeny |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1154345759 PECOS PAC ID: 0042275422 Enrollment ID: I20041124000604 |
Provider Name | Kevin W Peterson |
---|---|
Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
Provider Identifiers | NPI Number: 1912971581 PECOS PAC ID: 7719954270 Enrollment ID: I20050112000041 |
Provider Name | Joseph M Klick |
---|---|
Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
Provider Identifiers | NPI Number: 1073516266 PECOS PAC ID: 4587611660 Enrollment ID: I20050331000782 |
Provider Name | Michael J Holte |
---|---|
Provider Type | Practitioner - Orthopedic Surgery |
Provider Identifiers | NPI Number: 1699788752 PECOS PAC ID: 1254370067 Enrollment ID: I20050502000366 |
Provider Name | John Andrew Dvorak |
---|---|
Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1093755969 PECOS PAC ID: 2365423001 Enrollment ID: I20050601000887 |
Provider Name | Rwanda D Campbell |
---|---|
Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1174599641 PECOS PAC ID: 5799713129 Enrollment ID: I20050727001129 |
Provider Name | Mark Janorschke |
---|---|
Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
Provider Identifiers | NPI Number: 1720055171 PECOS PAC ID: 1153388129 Enrollment ID: I20050907001063 |
Provider Name | Gustave L Mellgren |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1871562926 PECOS PAC ID: 4082647615 Enrollment ID: I20050914001085 |
Provider Name | Margie R Nelson |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1669572988 PECOS PAC ID: 7113948209 Enrollment ID: I20051216000405 |
Provider Name | Billie J Grieve |
---|---|
Provider Type | Practitioner - General Surgery |
Provider Identifiers | NPI Number: 1598700882 PECOS PAC ID: 1254344575 Enrollment ID: I20060802000517 |
Provider Name | Jessica M Vanderhagen |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1871501734 PECOS PAC ID: 1254335680 Enrollment ID: I20060828000045 |
Provider Name | Noah N Chelliah |
---|---|
Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
Provider Identifiers | NPI Number: 1952485740 PECOS PAC ID: 9032166038 Enrollment ID: I20061205000606 |
Provider Name | Sujatha Roberts |
---|---|
Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1699899468 PECOS PAC ID: 6608976311 Enrollment ID: I20070711000088 |
Provider Name | Vali Orandi |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1407955479 PECOS PAC ID: 4082601240 Enrollment ID: I20080729000679 |
Provider Name | Robert P Montenegro |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1649284712 PECOS PAC ID: 1153499868 Enrollment ID: I20081008000474 |
Provider Name | Nancy L Pesta Walsh |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1093982837 PECOS PAC ID: 8921166216 Enrollment ID: I20081014000765 |
Provider Name | Jenna N Myrom |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1821242728 PECOS PAC ID: 1557427796 Enrollment ID: I20090312000641 |
Provider Name | Matthew John Dammeyer |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1083838403 PECOS PAC ID: 8921177114 Enrollment ID: I20090826000426 |
Provider Name | Joan M Lunzer |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1346253366 PECOS PAC ID: 5092617274 Enrollment ID: I20100318000781 |
Provider Name | Matthew J Hamiel |
---|---|
Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
Provider Identifiers | NPI Number: 1205166493 PECOS PAC ID: 5799814265 Enrollment ID: I20100520000760 |
Provider Name | James Joyce |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1326017724 PECOS PAC ID: 4789713686 Enrollment ID: I20100602001070 |
Provider Name | Matthew R Lee |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1326278573 PECOS PAC ID: 4082746391 Enrollment ID: I20100722000666 |
Provider Name | James E Matter |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1528167244 PECOS PAC ID: 5698676203 Enrollment ID: I20100913001142 |
Provider Name | Duane Eric Westberg |
---|---|
Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1578577656 PECOS PAC ID: 4688790496 Enrollment ID: I20100929001425 |
Provider Name | Thomas John Haus |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1902810062 PECOS PAC ID: 4284750993 Enrollment ID: I20100929001602 |
Provider Name | Scott R Maanum |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1992901086 PECOS PAC ID: 8820159460 Enrollment ID: I20101215001221 |
Provider Name | Roderick Benjamin Brown |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1942214002 PECOS PAC ID: 6305026543 Enrollment ID: I20110205000028 |
Provider Name | Annie M Molseed |
---|---|
Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
Provider Identifiers | NPI Number: 1619268067 PECOS PAC ID: 0143406066 Enrollment ID: I20110510000833 |
Provider Name | Sophie Dojacques |
---|---|
Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1669406542 PECOS PAC ID: 2961477229 Enrollment ID: I20110527000291 |
Provider Name | Hamid R Abbasi |
---|---|
Provider Type | Practitioner - Neurosurgery |
Provider Identifiers | NPI Number: 1932303526 PECOS PAC ID: 6507937588 Enrollment ID: I20120213000096 |
Provider Name | Alissa J Redding |
---|---|
Provider Type | Practitioner - Podiatry |
Provider Identifiers | NPI Number: 1760614390 PECOS PAC ID: 5890970552 Enrollment ID: I20120928000404 |
Provider Name | Thomas G Lewison |
---|---|
Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
Provider Identifiers | NPI Number: 1790034742 PECOS PAC ID: 3779733928 Enrollment ID: I20121024000110 |
Provider Name | Robert E Citrowske Lee |
---|---|
Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
Provider Identifiers | NPI Number: 1770858474 PECOS PAC ID: 6709039795 Enrollment ID: I20121221000360 |
Provider Name | Felix C Blanco |
---|---|
Provider Type | Practitioner - General Surgery |
Provider Identifiers | NPI Number: 1225385891 PECOS PAC ID: 8426201245 Enrollment ID: I20130103000339 |
Provider Name | Robert B Kari |
---|---|
Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
Provider Identifiers | NPI Number: 1649693367 PECOS PAC ID: 0042441487 Enrollment ID: I20140327000897 |
Provider Name | Erin R Dahlke |
---|---|
Provider Type | Practitioner - General Practice |
Provider Identifiers | NPI Number: 1700028693 PECOS PAC ID: 2264754167 Enrollment ID: I20141203002729 |
Provider Name | Kamran Khaghany |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1255502498 PECOS PAC ID: 6507917630 Enrollment ID: I20150114000608 |
Provider Name | Dana Lyn Citrowske Lee |
---|---|
Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
Provider Identifiers | NPI Number: 1568868024 PECOS PAC ID: 7911223870 Enrollment ID: I20150311002708 |
Provider Name | Justin L Towne |
---|---|
Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
Provider Identifiers | NPI Number: 1124133632 PECOS PAC ID: 3072830199 Enrollment ID: I20150327002229 |
Provider Name | Kimberly A Versteeg |
---|---|
Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1790763043 PECOS PAC ID: 5294723334 Enrollment ID: I20151120001417 |
Provider Name | Jill M Zimmerman |
---|---|
Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
Provider Identifiers | NPI Number: 1730575861 PECOS PAC ID: 7416268339 Enrollment ID: I20160303000706 |
Provider Name | Nicole M Zenk |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1881056679 PECOS PAC ID: 0345548012 Enrollment ID: I20160413000316 |
Provider Name | Jennifer Cavanagh |
---|---|
Provider Type | Practitioner - Orthopedic Surgery |
Provider Identifiers | NPI Number: 1033213376 PECOS PAC ID: 3577665645 Enrollment ID: I20160829000892 |
Provider Name | Brennen D Smith |
---|---|
Provider Type | Practitioner - Orthopedic Surgery |
Provider Identifiers | NPI Number: 1376753277 PECOS PAC ID: 0749467280 Enrollment ID: I20160909002480 |
Provider Name | Breann E Neiger |
---|---|
Provider Type | Practitioner - General Surgery |
Provider Identifiers | NPI Number: 1184902330 PECOS PAC ID: 6305133927 Enrollment ID: I20160926002166 |
Provider Name | Robert L Fischer |
---|---|
Provider Type | Practitioner - Otolaryngology |
Provider Identifiers | NPI Number: 1336198696 PECOS PAC ID: 9234128828 Enrollment ID: I20171002001901 |
Provider Name | Laura Davis Huggins |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1013335520 PECOS PAC ID: 9032337449 Enrollment ID: I20171004000053 |
Provider Name | Tanya Marcy Freske |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1558816561 PECOS PAC ID: 1153687033 Enrollment ID: I20171108003915 |
Provider Name | Alisha Mae Colby-timm |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1154770998 PECOS PAC ID: 8729344528 Enrollment ID: I20171110002231 |
Provider Name | William Lee Nyman |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1427096767 PECOS PAC ID: 3072589977 Enrollment ID: I20171220000851 |
Provider Name | Kirsten G Crawford |
---|---|
Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
Provider Identifiers | NPI Number: 1992221907 PECOS PAC ID: 7517228026 Enrollment ID: I20180226001109 |
Provider Name | Bailey A Dykema |
---|---|
Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
Provider Identifiers | NPI Number: 1942717046 PECOS PAC ID: 2769744069 Enrollment ID: I20180327000473 |
Provider Name | Amy Lynn Brandt |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1750616348 PECOS PAC ID: 4284971870 Enrollment ID: I20190118002682 |
Provider Name | Megan A Grimsley |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1982181061 PECOS PAC ID: 6002153533 Enrollment ID: I20190122003430 |
Provider Name | David Edward Polzin |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1427210533 PECOS PAC ID: 5890979314 Enrollment ID: I20190627001940 |
Provider Name | Jessica Lynn Wilson |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1942889209 PECOS PAC ID: 5799194676 Enrollment ID: I20210505001035 |
Provider Name | Nathan G Tiedeman |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1285083436 PECOS PAC ID: 1153613906 Enrollment ID: I20210505001615 |
Provider Name | Micala Sue Danielson |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1003581935 PECOS PAC ID: 0749678555 Enrollment ID: I20211103000732 |
Provider Name | Rebeka A Srbu |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1831753029 PECOS PAC ID: 5496130791 Enrollment ID: I20220922003619 |
Provider Name | Tara Larson |
---|---|
Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
Provider Identifiers | NPI Number: 1184914160 PECOS PAC ID: 8426234501 Enrollment ID: I20221205002983 |
Provider Name | Claire Fletcher |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1669976197 PECOS PAC ID: 8325420896 Enrollment ID: I20221227000601 |
Provider Name | Kristi Mae Winter |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1578279337 PECOS PAC ID: 1456723543 Enrollment ID: I20230303001457 |
Provider Name | Joshua Thomas |
---|---|
Provider Type | Practitioner - Orthopedic Surgery |
Provider Identifiers | NPI Number: 1962940890 PECOS PAC ID: 2466722459 Enrollment ID: I20230807003607 |