Beth M Brandenburg
PARK NICOLLET CLINIC


Address: 2550 University Ave W, Saint Paul, MN 55114-1052
Phone: 9529936200

Beth M Brandenburg (NPI# 1104961143, PAC ID# 3678767084) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PSYCHIATRY.

Physician Overview

Nation Provider ID (NPI) 1104961143
PAC ID by PECOS 3678767084
Professional Enrollment ID I20101029000902
Full Name Beth M Brandenburg
Organization Legal Name PARK NICOLLET CLINIC
Address 2550 University Ave W
Saint Paul
MN 55114-1052
Phone Number 9529936200
Gender F
Medical School UNIVERSITY OF IOWA COLLEGE OF MEDICINE
Graduation Year 2006
Primary Specialty PSYCHIATRY
Group Practice PAC ID 7911819438
Number of Group Practice Members 1323
Accepts Medicare Assignment Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
240053 PARK NICOLLET METHODIST HOSPITAL

Other Locations

Address Phone Organization
2550 University Ave W, Saint Paul, MN 55114-1052 9529936200 PARK NICOLLET CLINIC
3525 Monterey Dr, St Louis Park, MN 55416-5275 9529931990 PARK NICOLLET CLINIC

Organization Information

Organization Legal Name PARK NICOLLET CLINIC
Physicians 1272

Physicians with the same organization

Name Specialty Organization Address
Grace Marie Irish Nurse Practitioner Park Nicollet Clinic 3850 Park Nicollet Blvd, St Louis Park, MN 55416-2527
Johanna Dijkstal Beebe Ophthalmology Park Nicollet Clinic 250 Central Ave N, Wayzata, MN 55391-1206
Lonzale Ramsey Family Medicine Park Nicollet Clinic 2001 Blaisdell Ave, Minneapolis, MN 55404-2414
Kurt Wolff Physical Therapy Park Nicollet Clinic 15800 N 95th Ave, Maple Grove, MN 55369-4400
Alexandra E Wells Internal Medicine Park Nicollet Clinic 13688 Rogers Dr, Rogers, MN 55374-4916
Mysoon M Ayuob Family Medicine Park Nicollet Clinic 15111 Twelve Oaks Ctr Dr, Minnetonka, MN 55305-5201
Brian Lee Walters Orthopedic Surgery Park Nicollet Clinic 14000 Fairview Dr, Burnsville, MN 55337-5713
Jared J Mell Family Medicine Park Nicollet Clinic 4951 Excelsior Blvd, St Louis Park, MN 55416-3033
Sean M Reardon Clinical Psychologist Park Nicollet Clinic 9555 Upland N Ln, Maple Grove, MN 55369-4485
Jeffrey J Mohr Physician Assistant Park Nicollet Clinic 1885 Plaza Dr, Eagan, MN 55122-2979

Office Location

Street Address 2550 UNIVERSITY AVE W
City SAINT PAUL
State MN
Zip 55114-1052

Physicians in the same location

Name Specialty Organization Address
Miles J Belgrade Neurology Minnesota Head and Neck Pain Clinic, Pa 2550 University Ave W, Suite 189s, Saint Paul, MN 55114-2001
Shanti Kaimal Oral Surgery Minnesota Head and Neck Pain Clinic, Pa 2550 University Ave W, Suite 189s, Saint Paul, MN 55114-2001
Amanda N Delsman Psychologist, Clinical Park Nicollet Clinic 2550 University Ave W, Saint Paul, MN 55114-1052
Lois J Kehl Oral Surgery Minnesota Head and Neck Pain Clinic, Pa 2550 University Ave W, Suite 189s, Saint Paul, MN 55114-2001
Eric L Schiffman Oral Surgery Minnesota Head and Neck Pain Clinic, Pa 2550 University Ave W, Suite 189s, Saint Paul, MN 55114-2001
Karen L Nelson Psychologist, Clinical Park Nicollet Clinic 2550 University Ave W, Saint Paul, MN 55114-1052
Sarah L Lazarewicz Clinical Social Worker Park Nicollet Clinic 2550 University Ave W, Saint Paul, MN 55114-1052
Cory Herman Oral Surgery Minnesota Head and Neck Pain Clinic, Pa 2550 University Ave W, Suite 189s, Saint Paul, MN 55114-2001
James R Fricton Oral Surgery Minnesota Head and Neck Pain Clinic, Pa 2550 University Ave W, Suite 189s, Saint Paul, MN 55114-2001
Michael S Mrosak Dentist Minnesota Head and Neck Pain Clinic, Pa 2550 University Ave W, Suite 189s, Saint Paul, MN 55114-2001
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Physicians in the same zip code

Name Specialty Organization Address
Natalie Dahlgren Certified Clinical Nurse Specialist (cns) Park Nicollet Clinic 2550 University Ave W, Saint Paul, MN 55114-1052
Miriam Rebecca Koch Gerber Psychologist, Clinical Park Nicollet Clinic 2550 University Ave W, Saint Paul, MN 55114-1052
Erin T Fredrick-gray Psychologist, Clinical Park Nicollet Clinic 2550 University Ave W, Saint Paul, MN 55114-1052
Kathryn R Brush Psychologist, Clinical Park Nicollet Clinic 2550 University Ave W, Saint Paul, MN 55114-1052
Mark S Paller Nephrology University of Minnesota Physicians 1045 Westgate Dr, Suite 90, Saint Paul, MN 55114-1079
Samuel Robert Alexander Chiropractic Institute for Orthopedics and Chiropractic, Pllc 2550 University W Ave, 143n, Saint Paul, MN 55114-1098
Chad L Hendrickson Chiropractic Institute for Orthopedics and Chiropractic, Pllc 2550 University W Ave, 143n, Saint Paul, MN 55114-1098
Kip Smith Physical Therapy Institute for Orthopedics and Chiropractic, Pllc 2550 University W Ave, 143n, Saint Paul, MN 55114-1098
Dona L Mathews Psychologist, Clinical 2550 University Ave W, Suite 163s, Saint Paul, MN 55114-1098
Kim Marie Ledermann Oral Surgery Minnesota Craniofacial Center P.C. 2550 University W Ave, 143n, Saint Paul, MN 55114-1098
Find all physicians in zip 55114

Competitor

Search similar physicians

City SAINT PAUL
Zip Code 55114
Specialty PSYCHIATRY
City + Specialty SAINT PAUL + PSYCHIATRY

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS)
Jurisdiction Medicare

This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.

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