DERRICK STEVEN BROWN (NPI# 1659631372) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659631372 |
| Entity Type | Individual |
| Full Name | DERRICK STEVEN BROWN |
| Credential | MD |
| Practice Address |
2220 Riverside Ave Minneapolis MN 55454 |
| Mailing Address |
8170 33rd Ave S Ms 21110q Bloomington MN 55425-4516 |
| Practice Telephone | 9529677175 |
| Practice Fax Number | 6123711673 |
| Mailing Telephone | 9529677175 |
| Mailing Fax Number | 6123711673 |
| Enumeration Date | 2012-05-29 |
| Last Update Date | 2018-11-30 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 56495 | MN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| RR MEDICARE | P01224931 | 01 | |
| MN | 1659631372 | 05 | |
| MEDICA | 001-0105015 | 01 | |
| MN | BCBS | 1659631372 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 4855 W Arrowhead Rd, Essentia Health Hermantown Clinic, Hermantown, MN 558113936 | 2187863540 | 2187228160 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992226971 | Derrick Brown | Counselor | 4107 Van Deeman St, Bossier City, LA 71112-4223 | 2017-06-29 |
| 1801152632 | Derrick Brown | Case Manager/Care Coordinator | 13411 Royal Park Dr, Houston, TX 77083-6389 | 2012-04-05 |
| 1366671802 | Derrick Michael Brown | Physician Assistant | 1010 Executive Court, Suite 250, Westmont, IL 60559 | 2009-07-06 |
| 1700939360 | Derrick W Brown | Dentist | 853 N Harbor Blvd, Anaheim, CA 92805-1810 | 2007-01-18 |
| 1942270848 | Derrick M Brown | Internal Medicine | 733 N Beers St, Holmdel, NJ 07733-1528 | 2006-01-24 |
| Street Address |
2220 RIVERSIDE AVE |
| City | MINNEAPOLIS |
| State | MN |
| Zip Code | 55454 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619972197 | Sean Thayer | Podiatrist | 2220 Riverside Ave, Minneapolis, MN 55454-1321 | 2005-06-20 |
| 1578187084 | Marcia Wahl | Registered Nurse | 2220 Riverside Ave, Minneapolis, MN 55454-1321 | 2020-05-31 |
| 1619499746 | Kathleen Ann Otremba | Nurse Practitioner | 2220 Riverside Ave, Minneapolis, MN 55454-1321 | 2017-07-11 |
| 1417490228 | Lucianna Baregi | Physical Therapist | 2220 Riverside Ave, 5th Floor, Minneapolis, MN 55454-1321 | 2016-11-28 |
| 1609256031 | Lydia Staples | Obstetrics & Gynecology | 2220 Riverside Ave, Mail Stop 31700a, Minneapolis, MN 55454 | 2015-06-01 |
| 1821476821 | Melissa Pavek | Family Medicine | 2220 Riverside Ave, Minneapolis, MN 55454-1321 | 2015-05-11 |
| 1023402658 | Michelle Tracy Koenig | Nurse Practitioner | 2220 Riverside Ave, Minneapolis, MN 55454-1321 | 2015-03-20 |
| 1699166082 | Linnea Marie Forsline | Physician Assistant | 2220 Riverside Ave, Minneapolis, MN 55454-1321 | 2015-02-06 |
| 1699199802 | Zachery Avir Lecrone | Social Worker | 2220 Riverside Ave, Minneapolis, MN 55454-1321 | 2014-02-07 |
| 1386083111 | Laura Virginia Maus | Internal Medicine | 2220 Riverside Ave, Minneapolis, MN 55454-1321 | 2013-06-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194341842 | Bruce Zhang | Student in an Organized Health Care Education/Training Program | 606 24th Ave. S. Suite 200, Minneapolis, MN 55454 | 2020-06-18 |
| 1205456738 | Sara Segner | Student in an Organized Health Care Education/Training Program | Peds Education Office M136, 1st Floor, East Building, 2450 Riverside Ave, Minneapolis, MN 55454 | 2020-04-24 |
| 1417576844 | Sabena Khan | Student in an Organized Health Care Education/Training Program | M136, 1st Floor, East Building. 2450 Riverside Avenue, Minneapolis, MN 55454 | 2020-04-15 |
| 1811525983 | Kayla Joy Solstad | Student in an Organized Health Care Education/Training Program | M136, 1st Floor, East Bldg., 2450 Riverside Ave, Minneapolis, MN 55454 | 2020-04-01 |
| 1720647126 | Lauren Harasymiw | Student in an Organized Health Care Education/Training Program | Pediatrics Ed. Office, M136, 1st Floor, East Building, 2450 Riverside Ave, Minneapolis, MN 55454 | 2019-06-10 |
| 1689237448 | Katelyn Marie Adams | Student in an Organized Health Care Education/Training Program | Pediatrics Education Office, M136, 1st Floor, East Building, 8950a, 2450 Riverside Ave, Minneapolis, MN 55454 | 2019-04-17 |
| 1285197848 | Adrienne Bruder | Student in an Organized Health Care Education/Training Program | M136, 1st Floor, East Building, 8950a, 2450 Riverside Ave, Minneapolis, MN 55454 | 2019-04-10 |
| 1588142855 | Stewart Graeme Morrison | Student in an Organized Health Care Education/Training Program | Department of Orthopaedics University of Minnesota, 2450 Riverside Ave R200, Minneapolis, MN 55454 | 2018-07-30 |
| 1831682251 | Sherab Tsheringla | Student in an Organized Health Care Education/Training Program | 2450 Riverside Avenue South, Minneapolis, MN 55454 | 2018-06-11 |
| 1669962148 | Pooja Elizabeth Mishra | Student in an Organized Health Care Education/Training Program | M136, 1st Floor, East Building 8950a (campus Delivery C, 2450 Riverside Ave, Minneapolis, MN 55454 | 2018-05-10 |
| Find all providers in zip 55454 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336594498 | Jaimi Weber | Family Medicine | Mmc 381, 420 Delaware St. Se, Minneapolis, MN 55445 | 2016-04-26 |
| 1376906388 | Sama Healthcare | Family Medicine | 2639 Nicollet Ave., Suite 130, Minneapolis, MN 55408 | 2016-03-29 |
| 1902209687 | Elaine May | Family Medicine | 2861 Burnham Blvd, Minneapolis, MN 55416-4331 | 2014-10-08 |
| 1952741050 | Gregory Olszewski | Family Medicine | 19 S 1st St Apt B2603, Minneapolis, MN 55401-1845 | 2013-07-03 |
| 1881940864 | Isaac Milton Engholm | Family Medicine | 825 Nicollet Mall Ste 403, Minneapolis, MN 55402-2611 | 2012-07-27 |
| 1942572763 | Neighborhood Healthsource | Family Medicine | 1015 4th Avenue North, Suite 201, Minneapolis, MN 55405-1178 | 2012-02-09 |
| 1225323371 | Yun Chau Bernice Lee | Family Medicine | 2823 Dean Pkwy, Minneapolis, MN 55416-4401 | 2011-06-16 |
| 1730487208 | Specialized Medical Response, LLC | Family Medicine | 401 Harding St Ne #100, Minneapolis, MN 55413 | 2011-03-08 |
| 1285930065 | Allina Health System | Family Medicine | 3024 Snelling Ave S, Minneapolis, MN 55406-1911 | 2011-01-27 |
| 1013226844 | Corban Health Care, Pllc | Family Medicine | 5141 36th Ave S, Minneapolis, MN 55417-1518 | 2010-09-28 |
| Find all providers in MINNEAPOLIS | ||||
| City | MINNEAPOLIS |
| Zip Code | 55454 |
Please comment or provide details below to improve the information on DERRICK STEVEN BROWN.
| 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.