BRYAN T WOOD


Address: 1230 E Main St, Mankato Clinic @ Main Street, Mankato, MN 56001-5066
Phone: 5076251811

BRYAN T WOOD (NPI# 1659350650) 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) 1659350650
Entity Type Individual
Full Name BRYAN T WOOD
Credential MD
Practice Address 1230 E Main St
Mankato Clinic @ Main Street
Mankato
MN 56001-5066
Mailing Address 1230 E Main St
Po Box 8674
Mankato
MN 56001-5066
Practice Telephone 5076251811
Mailing Telephone 5076251811
Enumeration Date 2006-01-10
Last Update Date 2011-09-02
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 208600000X Surgery 43467 MN Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
RR MEDICARE 020054167 01
BCBS MN 027L5WO 01
AMERICAS PPO MN 2149398 01
MN 988153100 05
HEALTH PARTNERS MN HP38121 01
UCARE MN 171077 01
CHAMPUS 410849339 56001 C198 01
IA 0593053 05
PREFERRED ONE MN NA2951034555 01
MEDICA MN 1700938 01

Other Providers BRYAN WOOD

NPI Name Taxonomy Address Enumeration
1730438672 Bryan Wood Counselor 212 Sw 147th St, Oklahoma City, OK 73170-7268 2012-09-06
1609011816 Bryan Gerald Wood Pharmacist 102 N Sage Street, Stewart's Downtown Discount Drugs, Toccoa, GA 30577 2008-12-03
1962624544 Bryan D. Wood Dentist 2000 Huntington Ave, Suite 107, Alexandria, VA 22303-1728 2007-05-03
1558969006 Bryan Michael Wood Behavior Technician 4655 Rosebud Ln, Newburgh, IN 47630-9366 2020-10-15
1659827558 Bryan Matthew Wood Nurse Anesthetist, Certified Registered 51 N 39th St, Philadelphia, PA 19104-2640 2016-08-30
1376620625 Bryan Wood Internal Medicine 504 Elm St Ne, Albuquerque, NM 87102-2512 2006-11-01
1275648677 Bryan Wesley Wood Optometrist 615 Elm St, Sikeston, MO 63801-3226 2006-08-19
1497778153 Bryan Wood Emergency Medicine 217 S 3rd St, Danville, KY 40422-1823 2006-07-25
1306890686 Bryan Richard Wood Pharmacist 150 S Huntington Ave, Jamaica Plain, MA 02130-4817 2006-05-20

Office Location

Street Address 1230 E MAIN ST
MANKATO CLINIC @ MAIN STREET
City MANKATO
State MN
Zip Code 56001-5066

Providers in the same location

NPI Name Taxonomy Address Enumeration
1154325173 Kimberly A Aho Psychiatry & Neurology 1230 E Main St, Mankato, MN 56001-5066 2005-06-08
1699381418 Emily Anna Potter Nurse Practitioner 1230 E Main St, Mankato, MN 56001-5066 2020-09-17
1699233965 Zachary Joel Stevens Physician Assistant 1230 E Main St, Mankato, MN 56001-5066 2019-03-06
1033674288 Season Marie Hoffman Nurse Practitioner 1230 E Main St, Mankato, MN 56001-8001 2019-02-01
1912471665 Abby Jo Tibodeau Dietitian, Registered 1230 E Main St, Mankato, MN 56001-5066 2019-01-16
1154800886 Travis Mattson Physical Therapist 1230 E Main St, Mankato, MN 56001-8001 2018-08-13
1801383955 Nathan Evers Pharmacist 1230 E Main St, Mankato, MN 56001-5066 2018-04-15
1942704945 Jennifer Sue Marble Registered Nurse 1230 E Main St, Mankato, MN 56001 2018-03-23
1669976742 Brooke Renee Long Registered Nurse 1230 E Main St, Mankato, MN 56001 2018-03-22
1245740463 Galen Mary Hilgendorf Physician Assistant 1230 E Main St, Mankato, MN 56001-5066 2017-10-02
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1154935435 Kelly Nicole Ricke Physical Medicine & Rehabilitation 1 Civic Center Plaza, Hockey Office Complex, Mankato, MN 56001 2020-09-03
1649816786 Ashley Lynn Walters Technician, Other 501 Madison Ave., Mankato, MN 56001 2019-11-25
1720631716 Dovetail Traslation LLC Interpreter 212 Dublin Ct, Same As Above, Mankato, MN 56001 2019-07-19
1093377871 Lindsey Keithahn Counselor 2100 Bassett Drive, Mankato, MN 56001 2019-07-02
1255803813 Amy Marie Williams Acupuncturist 709 S. Front Street, Suite 5, Mankato, MN 56001 2018-12-20
1518437573 Ashley Blanchard Acupuncturist Vida Salon Suites 1351 Madison Avenue, Suite F/ Suite 206, Mankato, MN 56001 2018-12-03
1831687235 Christian Goetz Specialist/Technologist 401-477 South Rd, Mankato, MN 56001 2018-05-01
1366949141 Minnesota State College and Universities Specialist/Technologist 135 Myers Field House, Mankato, MN 56001 2018-04-09
1780191775 Kevin David Nelson Pharmacist 111 Redtail Ct Apt 308, Mankato, MN 56001 2017-12-29
1972014231 Rylee Wagner Speech-Language Pathologist Mankato Clinic Pediatric Therapy Services, 150 St. Andrews Court, Suite 310, Mankato, MN 56001 2017-10-13
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Taxonomy Information

Taxonomy Code 208600000X
Grouping Allopathic & Osteopathic Physicians
Classification Surgery

Taxonomy Definition

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1487827952 Francois Hamze Surgery 79 Navaho Ave, Suite 11, Mankato, MN 56001-4831 2008-04-07
1497825327 Rachel Heather Jones Surgery 413 Diamond Creek Rd, Mankato, MN 56001 2006-11-08
1053756221 Bradley Deleu Surgery 1025 Marsh St, Mankato, MN 56001 2013-05-01
1154558682 Jeremy Dean Berger Surgery 1230 E Main St, Mankato, MN 56001-5066 2009-06-11
1891920880 Tara C.k. Krosch Surgery 1025 Marsh St, Mankato, MN 56001 2009-05-20
1619143005 Megan Margaret Gilmore Surgery 1025 Marsh St, Mankato, MN 56001-4752 2008-05-05
1578610861 William Scheidt Surgery 1809 Adams St, Mankato, MN 56001-4841 2007-01-05
1013008366 Timothy W. Huisken Surgery 1230 E Main St, Mankato, MN 56001 2006-09-28
1679594469 Gina M Risty Surgery 1025 Marsh St, Mankato, MN 56001-4752 2006-07-21
1295765451 Stephen M Marchuk Surgery 1230 E. Main Street, Mankato, MN 55002-8674 2006-07-04
Find all providers in MANKATO

Competitor

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City MANKATO
Zip Code 56001

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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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