BRANDON PAUL REYNOLDS (NPI# 1851404016) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851404016 |
| Entity Type | Individual |
| Full Name | BRANDON PAUL REYNOLDS |
| Credential | MD |
| Practice Address |
320 East Main Street Crosby MN 56441 |
| Practice Telephone | 2185467000 |
| Practice Fax Number | 2185464400 |
| Mailing Telephone | 2185467000 |
| Mailing Fax Number | 2185464400 |
| Enumeration Date | 2006-08-15 |
| Last Update Date | 2020-08-31 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208800000X | Urology | 68109 | MN | Allopathic & Osteopathic Physicians |
| N | 208800000X | Urology | 7719201-1205 | UT | Allopathic & Osteopathic Physicians |
| N | 208800000X | Urology | A96328 | CA | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1808 Verdugo Blvd, Suite 318, Glendale, CA 912081477 | 8187901278 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033716105 | Brandon Mitchell Reynolds | Counselor | 7514 Prairie Dune Ct, Solon, OH 44139-5262 | 2020-10-02 |
| 1710972641 | Brandon Lee Reynolds | Obstetrics & Gynecology | 5126 W Daybreak Pkwy, South Jordan, UT 84095-5994 | 2005-09-16 |
| 1205314218 | Brandon Shane Reynolds | Physical Therapist | 4831 S Laburnum Ave, Richmond, VA 23231-2713 | 2018-08-01 |
| 1114411196 | Brandon Michael Reynolds | Pharmacist | 2301 Holmes St, Kansas City, MO 64108-2640 | 2018-06-21 |
| 1538359252 | Brandon Nolan Reynolds | Psychiatry & Neurology | 1500 E Medical Center Dr, Mchc, F6135, Ann Arbor, MI 48109-5000 | 2007-07-30 |
| 1962616383 | Brandon Reynolds | Plastic Surgery | 8285 W Arby Ave, Ste. 380, Las Vegas, NV 89113-2235 | 2007-05-09 |
| Street Address |
320 EAST MAIN STREET |
| City | CROSBY |
| State | MN |
| Zip Code | 56441 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215911391 | Paul R Carey | Family Medicine | 320 East Main Street, Crosby, MN 56441 | 2005-12-02 |
| 1629550975 | Samuel T Feyder | Physician Assistant | 320 East Main Street, Crosby, MN 56441 | 2018-09-04 |
| 1205299385 | Ann E Johnson | Obstetrics & Gynecology | 320 East Main Street, Crosby, MN 56441 | 2016-04-05 |
| 1407238389 | Brian Holmgren | Internal Medicine | 320 East Main Street, Crosby, MN 56441 | 2015-06-26 |
| 1285013367 | Paige Elizabeth Holmgren | Family Medicine | 320 East Main Street, Crosby, MN 56441 | 2015-05-22 |
| 1891182341 | Robert G Johnson | Surgery | 320 East Main Street, Crosby, MN 56441 | 2015-04-22 |
| 1932514320 | Melissa Sueann Dyrdal | Nurse Practitioner | 320 East Main Street, Crosby, MN 56441 | 2014-06-25 |
| 1477973063 | James J Stokman | Orthopaedic Surgery | 320 East Main Street, Crosby, MN 56441 | 2014-04-22 |
| 1093155442 | Kyle R Moore | Podiatrist | 320 East Main Street, Crosby, MN 56441 | 2013-06-30 |
| 1740624501 | Laura B Fier | Internal Medicine | 320 East Main Street, Cuyuna Regional Medical Center, Crosby, MN 56441 | 2013-04-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043381676 | Shannon Marie Smith | Chiropractor | 5 West Main Street, Crosby, MN 56441 | 2006-11-13 |
| 1841207594 | Bruce B Cunningham | Family Medicine | 320 East Main St, Crosby, MN 56441 | 2006-08-02 |
| 1457794943 | Lynn Marie Gevik | Registered Nurse | 320 E. Main Street, Crosby, MN 56441 | 2013-04-15 |
| 1962711523 | Marcella Hanson | Clinical Nurse Specialist | 320 East Main St, Cuyuna Regional Medical Center, Crosby, MN 56441 | 2010-09-30 |
| 1083700975 | Crow Wing County Ind School District 182 | Local Education Agency (LEA) | 711 Poplar St, Crosby, MN 56441-1135 | 2006-10-05 |
| 1760525612 | Todd Davis Newman | Chiropractor | 424 Oak St, Crosby, MN 56441-1276 | 2007-02-14 |
| 1902016710 | Crosby Chiropractic, Inc. | Chiropractor | 424 Oak St, Crosby, MN 56441-1276 | 2007-05-23 |
| 1669689972 | Christopher Rockwell Davis | Chiropractor | 424 Oak St, Crosby, MN 56441-1276 | 2007-05-17 |
| 1548289259 | Judith Hilary Weis | Clinical Nurse Specialist | 27 1st St Sw, Crosby, MN 56441-1417 | 2006-07-19 |
| 1124313259 | Lachelle Renee Brinks | Nurse Practitioner | 5 W Main St, Crosby, MN 56441-1421 | 2011-06-16 |
| Find all providers in zip 56441 | ||||
| Taxonomy Code | 208800000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Urology |
| A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Urology, 2007. http://www.abu.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Urology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518295591 | Janet Parsons | Urology | 16123 Port O Call St, Crosby, TX 77532-5247 | 2009-12-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255939286 | Joseph Marconni Sewell Araya | Urology | 11920 Baypoint Dr, Burnsville, MN 55337-3367 | 2020-10-12 |
| 1922599737 | Subodh Kumar Regmi | Urology | Department of Urology, University of Minnesoata, 420 Delaware St S.e., Mmc 394, Minneapolis, MN 55455 | 2018-05-29 |
| 1700281953 | Centracare Clinic | Urology | 2351 Connecticut Ave S, Suite 200, Centracare Clinic- Adult & Pediatric Urology, Sartell, MN 56377-2477 | 2014-10-30 |
| 1154734127 | Abhinav Khanna | Urology | 200 First Street Nw, Rochester, MN 55905-0001 | 2014-06-08 |
| 1427476662 | Khushabu Kasabwala | Urology | 420 Delaware St. S. E., Mmc 394, Minneapolis, MN 55455 | 2014-04-04 |
| 1518302181 | Daniel Liberman | Urology | 420 Delaware Stre Se, Suite B435, Institute for Prostrate and Urologic Cancers, Minneapolis, MN 55455-0341 | 2013-05-08 |
| 1386981637 | Urology Associates, Ltd. | Urology | 244 7th Street North, Mora, MN 55051 | 2013-01-07 |
| 1831445691 | Urology Associates, Ltd. | Urology | 111 Hundertmark Rd Ste 410, 212 Medical Building, Chaska, MN 55318-1458 | 2012-07-31 |
| 1841590593 | Hakim Medical Enterprises, P.a. | Urology | 2963 Fairchild Ave, Wayzata, MN 55391-2956 | 2010-10-28 |
| 1164747085 | Joseph Robert Nelson Zabell | Urology | 6363 France Ave S Ste 500, Edina, MN 55435-2135 | 2010-04-03 |
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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.