BRETT W NYHOLM


Address: 6200 Shingle Creek Pkwy, Suite 250, Brooklyn Center, MN 55430-2128
Phone: 7635440696

BRETT W NYHOLM (NPI# 1255305355) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1255305355
Entity Type Individual
Full Name BRETT W NYHOLM
Credential M.D.
Practice Address 6200 Shingle Creek Pkwy
Suite 250
Brooklyn Center
MN 55430-2128
Mailing Address 6200 Shingle Creek Pkwy
Suite 260
Brooklyn Center
MN 55430-2128
Practice Telephone 7635440696
Mailing Telephone 7635615349
Enumeration Date 2006-02-15
Last Update Date 2014-10-15
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207RN0300X Internal Medicine
Specialization: Nephrology
44788 MN Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
MN AMERICA'S PPO 020 01
MN MEDICA 3100381 01
MN 809652000 05
MN PREFERRED ONE 960931050396 01
WI 34779200 05
MN BCBS 123D3NY 01
MN HEALTHPARTNERS HP62024 01
MN U-CARE 143225C028 01

Office Location

Street Address 6200 SHINGLE CREEK PKWY
SUITE 250
City BROOKLYN CENTER
State MN
Zip Code 55430-2128

Providers in the same location

NPI Name Taxonomy Address Enumeration
1881007110 Mary Prescott Nurse Practitioner 6200 Shingle Creek Pkwy, Suite 300, Brooklyn Center, MN 55430-2128 2014-06-04
1619265444 Cari A Bushey Nurse Practitioner 6200 Shingle Creek Pkwy, Suite 260, Brooklyn Center, MN 55430-2128 2011-07-14
1427285030 Carl Dean Internal Medicine 6200 Shingle Creek Pkwy, Suite 250, Brooklyn Center, MN 55430-2128 2009-06-22
1023253069 Katherine M Carlson Dietitian, Registered 6200 Shingle Creek Pkwy, Ste 300, Brooklyn Center, MN 55430-2128 2008-12-04
1497906242 Zeeraq Rahmatullah Internal Medicine 6200 Shingle Creek Pkwy, 300, Brooklyn Center, MN 55430-2128 2008-10-09
1568670867 Kyle P Onan Internal Medicine 6200 Shingle Creek Pkwy, Suite 250, Brooklyn Center, MN 55430-2128 2007-05-18
1275680407 Jeffrey Brown, Ma, Lp Psychologist 6200 Shingle Creek Pkwy, Suite460-2, Brooklyn Center, MN 55430-2128 2007-01-03
1881754471 Eileen O Mundenar Physician Assistant 6200 Shingle Creek Pkwy, Suite 300, Brooklyn Center, MN 55430-2128 2006-12-12
1205940798 Marc Weber Internal Medicine 6200 Shingle Creek Pkwy, Suite 260, Brooklyn Center, MN 55430-2128 2006-08-19
1174537542 Michelle Busch I Nurse Practitioner 6200 Shingle Creek Pkwy, Suite 260, Brooklyn Center, MN 55430-2128 2006-07-28
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1396362182 Graceland Homes Home Health 6843 Colfax Ave N, Brooklyn Center, MN 55430 2020-06-29
1912549742 His Services Home Care, LLC Home Health 2108 70th Avenue North, Brooklyn Park, MN 55430 2019-10-14
1336612969 Jeremiah Sk Pojah Sr. Registered Nurse 5201 Bryant Avenue North, Suite 108, Minneapolis, MN 55430 2019-01-07
1891219697 Tamika Yvette Spicer Home Health Aide 6640 Humboldt Ave N, 101, Brooklyn Center, MN 55430 2017-08-02
1265973358 James Contois Community Based Residential Treatment Facility, Mental Illness 6120 Earle Brown Drive, Suite 100, Brooklyn Center, MN 55430 2017-03-09
1336693746 Sara Jean Cooper Dentist 1090 Shingle Creek Pkwy, Brooklyn Center, MN 55430 2016-08-15
1750732202 Miriam Home Health Corporation Residential Treatment Facility, Physical Disabilities 7030 Humboldt Avenue North, Brooklyn Center, MN 55430 2016-06-27
1649628561 Tranquility Health LLC Community/Behavioral Health 6040 Earle Brown Dr Ste 250, Brooklyn Center, MN 55430 2016-06-01
1104233790 Lillie's Helping Hands In Home Supportive Care 6407 Camden Ave N, #303, Brooklyn Center, MN 55430 2014-07-16
1063760817 Wal-mart Stores Inc Technician/Technologist 1200 Shingle Creek Crossing, Brooklyn Center, MN 55430 2012-08-28
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Taxonomy Information

Taxonomy Code 207RN0300X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Nephrology

Taxonomy Definition

An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.
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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1538459755 Maxwell David Leither Internal Medicine 6200 Shingle Creek Pkwy Ste 250, Brooklyn Center, MN 55430-2107 2011-04-08
1427285030 Carl Dean Internal Medicine 6200 Shingle Creek Pkwy, Suite 250, Brooklyn Center, MN 55430-2128 2009-06-22
1497906242 Zeeraq Rahmatullah Internal Medicine 6200 Shingle Creek Pkwy, 300, Brooklyn Center, MN 55430-2128 2008-10-09
1619998499 John Robert Gray Internal Medicine 6200 Shingle Creek Pkwy, Suite 250, Brooklyn Center, MN 55430-2128 2006-07-21
1013938885 Norman Martin Lunde Internal Medicine 6200 Shingle Creek Pkwy, Suite 300, Brooklyn Center, MN 55430-2128 2006-07-21
1699796326 Daniel K Ries Internal Medicine 6200 Shingle Creek Pkwy, Suite 250, Brooklyn Center, MN 55430-2128 2006-07-21
1023038981 Michael Grant Somermeyer Internal Medicine 6200 Shingle Creek Pkwy, Suite 250, Brooklyn Center, MN 55430-2128 2006-07-20
1922025774 George Chris Canas Internal Medicine 6200 Shingle Creek Pkwy, Suite 250, Brooklyn Center, MN 55430-2128 2006-07-17
1235156118 Orvin Patrick Ochoa Visaya Internal Medicine 6200 Shingle Creek Pkwy, Suite 250, Brooklyn Center, MN 55430-2128 2006-07-16
1629010228 Kidney Specialists of Minnesota, Pa Internal Medicine 6200 Shingle Creek Pkwy, Suite 260, Brooklyn Center, MN 55430-2128 2006-06-11
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Competitor

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City BROOKLYN CENTER
Zip Code 55430

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Dataset Information

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.

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