ALAIN F BROCCARD (NPI# 1164498739) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1164498739 |
Entity Type | Individual |
Full Name | ALAIN F BROCCARD |
Credential | MD |
Practice Address |
1700 University Ave W Fl 6 Saint Paul MN 55104-3727 |
Mailing Address |
10933 Humboldt Ave S Minneapolis MN 55431-4221 |
Practice Telephone | 6512322273 |
Mailing Telephone | 6126387764 |
Enumeration Date | 2006-02-24 |
Last Update Date | 2018-04-09 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 207R00000X | Internal Medicine | 39304 | MN | Allopathic & Osteopathic Physicians |
N | 207R00000X | Internal Medicine | 01075203A | IN | Allopathic & Osteopathic Physicians |
N | 207RC0200X |
Internal Medicine Specialization: Critical Care Medicine |
39304 | MN | Allopathic & Osteopathic Physicians |
Y | 207RC0200X |
Internal Medicine Specialization: Critical Care Medicine |
01075203A | IN | Allopathic & Osteopathic Physicians |
N | 207RC0200X |
Internal Medicine Specialization: Critical Care Medicine |
277095 | NY | Allopathic & Osteopathic Physicians |
N | 207RP1001X |
Internal Medicine Specialization: Pulmonary Disease |
39304 | MN | Allopathic & Osteopathic Physicians |
N | 207RP1001X |
Internal Medicine Specialization: Pulmonary Disease |
01075203A | IN | Allopathic & Osteopathic Physicians |
N | 207RP1001X |
Internal Medicine Specialization: Pulmonary Disease |
277095 | NY | Allopathic & Osteopathic Physicians |
N | 207RS0012X |
Internal Medicine Specialization: Sleep Medicine |
277095 | NY | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MN | 290218400 | 05 |
Address | Telephone Number | Fax Number |
---|---|---|
8050 Township Line Rd, Indianapolis, IN 462602478 | 3174158500 |
Street Address |
1700 UNIVERSITY AVE W FL 6 |
City | SAINT PAUL |
State | MN |
Zip Code | 55104-3727 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1912497041 | Pamela Jenness Freske | Psychologist | 1700 University Ave W Fl 6, Saint Paul, MN 55104-3727 | 2018-05-15 |
1376059188 | Meghan Kerry Dunnigan | Nurse Practitioner | 1700 University Ave W Fl 6, Saint Paul, MN 55104-3727 | 2017-12-17 |
1699209643 | Jennifer Leafblad | Social Worker | 1700 University Ave W Fl 6, Saint Paul, MN 55104-3727 | 2017-04-17 |
1033641758 | Megan Lifto | Clinical Nurse Specialist | 1700 University Ave W Fl 6, Saint Paul, MN 55104-3727 | 2017-03-31 |
1841737814 | Alyssa Edwards | Registered Nurse | 1700 University Ave W Fl 6, Saint Paul, MN 55104-3727 | 2017-01-27 |
1811434038 | Sarah Marie Olson | Clinical Neuropsychologist | 1700 University Ave W Fl 6, Saint Paul, MN 55104-3727 | 2017-01-25 |
1801346093 | Caroline Kuria | Nurse Practitioner | 1700 University Ave W Fl 6, Saint Paul, MN 55104-3727 | 2016-10-11 |
1902294358 | Dana Alexandra Peterson | Nurse Practitioner | 1700 University Ave W Fl 6, Saint Paul, MN 55104-3727 | 2015-01-07 |
1225426174 | Hayley Maxwell | Counselor | 1700 University Ave W Fl 6, Saint Paul, MN 55104-3727 | 2014-12-30 |
1225435167 | Jesse Cramer | Counselor | 1700 University Ave W Fl 6, Saint Paul, MN 55104-3727 | 2014-11-20 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1891339131 | Genoa Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 1600 University Ave West, Suite 12, Room P, Saint Paul, MN 55104 | 2019-10-30 |
1629541644 | Michael P Cain | Counselor | 1821 University Ave West, Suite N385, St. Paul, MN 55104 | 2019-01-03 |
1295219657 | Awaken Recovery Center L.l.c | Counselor | 400 Suite D 393 North Dunlap, St Paul, MN 55104 | 2018-09-21 |
1285115634 | American Current Care of Minnesota PC | Clinic/Center | 570 Asbury St Ste 101, Saint Paul, MN 55104 | 2018-08-23 |
1699262501 | B & M Vital Homecare LLC. | Home Health | 1821 University Ave., W., Ste #s334, St. Paul, MN 55104 | 2018-04-16 |
1134621600 | Lauren Fullerton | Counselor | 1821 University Ave W., Suite N385, St. Paul, MN 55104 | 2018-03-01 |
1265944672 | Megan Manning | Marriage & Family Therapist | 475 Cleveland Ave. N., Suite 316, St. Paul, MN 55104 | 2017-10-26 |
1801305131 | Foncham Buma Foncham | Registered Nurse | 856 University Avenue, W, St. Paul, MN 55104 | 2017-09-29 |
1750802476 | Ha Vo | Counselor | 451 Lexington Parkway North, St. Paul, MN 55104 | 2017-07-03 |
1952831026 | Noble Senior Center Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1094 University Ave W, Saint Paul, MN 55104 | 2017-06-12 |
Find all providers in zip 55104 |
Taxonomy Code | 207RC0200X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Internal Medicine |
Specialization | Critical Care Medicine |
An internist who diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1235360140 | Inga C Forde | Internal Medicine | 640 Jackson St # Ms 11502b, Saint Paul, MN 55101-2502 | 2009-07-28 |
1356542211 | Joshua Cohen | Internal Medicine | 225 Smith Ave N Ste 501, Saint Paul, MN 55102-2545 | 2007-05-29 |
1609845742 | Jeffery R Dichter | Internal Medicine | 849 Govern Circle, Saint Paul, MN 55123 | 2006-03-14 |
1588618508 | James W Quaday | Internal Medicine | 255 Smith Ave N, Suite 300, Saint Paul, MN 55102-2572 | 2006-05-22 |
1609820570 | Linda M. Funk | Internal Medicine | 225 Smith Ave N, Suite 300, Saint Paul, MN 55102-2533 | 2006-05-22 |
1770536450 | Mark Roger Freiberg | Internal Medicine | 255 Smith Ave N, Suite 300, Saint Paul, MN 55102-2572 | 2006-05-17 |
1477505121 | Samy El-halawani | Internal Medicine | 225 Smith Ave N, Suite 300, Saint Paul, MN 55102-2533 | 2006-05-17 |
1255384913 | Joseph M. Lasnier | Internal Medicine | 225 Smith Ave N, Suite 300, Saint Paul, MN 55102-2533 | 2006-05-17 |
1467402941 | Stephen Gryzan | Internal Medicine | 225 Smith Ave N, Suite 300, Saint Paul, MN 55102-2533 | 2006-05-12 |
1366492837 | David Warren Bonham | Internal Medicine | 225 Smith Ave N, Suite 300, Saint Paul, MN 55102-2534 | 2006-05-12 |
Find all providers in SAINT PAUL |
City | SAINT PAUL |
Zip Code | 55104 |
Please comment or provide details below to improve the information on ALAIN F BROCCARD.
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.