DR. BASSIM SAMADANI BIRKLAND (NPI# 1154766525) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154766525 |
| Entity Type | Individual |
| Full Name | DR. BASSIM SAMADANI BIRKLAND |
| Credential | M.D, M.P.H |
| Practice Address |
Broadway Clinic 1020 West Broadway Minneapolis MN 55411 |
| Mailing Address |
1020 W Broadway Ave Minneapolis MN 55411-2504 |
| Practice Telephone | 6123028200 |
| Practice Fax Number | 6125214725 |
| Enumeration Date | 2013-04-30 |
| Last Update Date | 2014-05-19 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
BROADWAY CLINIC 1020 WEST BROADWAY |
| City | MINNEAPOLIS |
| State | MN |
| Zip Code | 55411 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477101483 | Minnesota Mental Health Solutions | Social Worker | 1007 W Broadway Ave Ste 200, Minneapolis, MN 55411 | 2019-09-03 |
| 1154980233 | Access Group Home LLC | Home Health | 1122 Upton Ave N, Minneapolis, MN 55411 | 2019-06-11 |
| 1780036202 | Marcia Karen Powless | Registered Nurse | 2339 River Pointe Lane, Minneapolis, MN 55411 | 2016-07-08 |
| 1104287663 | Abdikarim Abdille | Contractor | 521 Lyn Park Cir N, Minneapolis, MN 55411 | 2016-03-11 |
| 1962801399 | Olu's Center | Clinic/Center | 1315 12th Ave N, Minneapolis, MN 55411 | 2014-08-21 |
| 1689086639 | Claudia Alejandra Patino Gonzalez | Student in an Organized Health Care Education/Training Program | 1020 West Broadway Avenue, Minneapolis, MN 55411 | 2014-05-27 |
| 1306283445 | Advanced Home Care | Home Health | 3000 Logan Ave N, Minneapolis, MN 55411 | 2013-05-30 |
| 1720354004 | New Salem Metormorphosis Youth Program | Counselor | 2509 Bryant Ave North, Minneapolis, MN 55411 | 2012-03-30 |
| 1629387469 | Apose | Home Health | 2806 Girard Ave. North, Minneapolis, MN 55411 | 2010-09-28 |
| 1609002609 | Lavern Thomas | Durable Medical Equipment & Medical Supplies | 1530 Queen Ave N, Minneapolis, MN 55411 | 2009-06-04 |
| Find all providers in zip 55411 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558961003 | Maren Elizabeth Iverson | Student in an Organized Health Care Education/Training Program | 1 Veterans Dr # 160, Minneapolis, MN 55417-2309 | 2020-10-26 |
| 1235745027 | Andrew Ryan Mcnamara | Student in an Organized Health Care Education/Training Program | 1015 Lowry Ave Ne Apt 3, Minneapolis, MN 55418-3727 | 2020-09-17 |
| 1831704923 | Chelsea Armbruster | Student in an Organized Health Care Education/Training Program | 1001 34th Ave Ne, Minneapolis, MN 55418-1336 | 2020-09-15 |
| 1588279715 | Lauren Snell | Student in an Organized Health Care Education/Training Program | 929 Portland Ave Apt 1104, Minneapolis, MN 55404-1256 | 2020-09-14 |
| 1962016840 | Leora Effinger-weintraub | Student in an Organized Health Care Education/Training Program | 3928 39th Ave S, Minneapolis, MN 55406-3431 | 2020-09-08 |
| 1235743279 | Marc Daniel Beitz | Student in an Organized Health Care Education/Training Program | 100 W Franklin Avenue, Suite 200, Minneapolis, MN 55404-3479 | 2020-09-08 |
| 1801409396 | Antoinette M Goodman | Student in an Organized Health Care Education/Training Program | 2800 Freeway Blvd Ste 105, Minneapolis, MN 55430-1751 | 2020-08-25 |
| 1194341842 | Bruce Zhang | Student in an Organized Health Care Education/Training Program | 606 24th Ave. S. Suite 200, Minneapolis, MN 55454 | 2020-06-18 |
| 1952922148 | Jacob Laurence Tigner | Student in an Organized Health Care Education/Training Program | 420 Delaware Street Se, Mmc 284, Minneapolis, MN 55455 | 2020-04-29 |
| 1023639309 | Sarah G Curtis | Student in an Organized Health Care Education/Training Program | 701 Park Ave # G5.122, Minneapolis, MN 55415-1623 | 2020-04-28 |
| Find all providers in MINNEAPOLIS | ||||
| City | MINNEAPOLIS |
| Zip Code | 55411 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.