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BRIAN BRISTOL DO
NPI 1063142628
Emergency Medicine in Bloomington, MN

Active since June 15, 2022PECOS EnrolledAccepts Medicare Assignment
4300 MARKET PTE DR STE 100, BLOOMINGTON, MN 55435(952) 767-4574 Get Directions Write a Review

NPPES record last updated: May 15, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Brian Bristol Do NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BRIAN BRISTOL DO (NPI 1063142628) is an individual emergency medicine provider in Bloomington, Minnesota, licensed in Nebraska (9361) and active in the NPI registry since June 2022. He is enrolled in Medicare PECOS, is affiliated with Mercy Hospital, and is a graduate of Marian University College Of Osteopathic Medicine (2022).

NPPES Registry Identity

NPI1063142628
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameBRIAN BRISTOLCredential: DO
Location Address4300 MARKET PTE DR STE 100Bloomington, MN 55435-5435
Mailing Address981150 Nebraska Medical CtrOmaha, NE 68198-1150
Phone(952) 767-4574
Sole ProprietorNo
Medical School CMSMarian University College Of Osteopathic MedicineGraduated 2022
Enumeration DateJune 15, 2022
Last NPPES UpdateMay 15, 2025
NPPES CertifiedMay 15, 2025
✔ NPI 1063142628 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License✔ Licensed in NE · 9361
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
4300 MARKET PTE DR STE 100, Bloomington, MN 55435
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Medica.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Brian Bristol Do is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1153704721
PECOS Enrollment IDI20250703000505
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Mercy Hospital

Acute Care Hospitals · Coon Rapids, MN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number240115
Location4050 Coon Rapids BlvdCoon Rapids, MN 55433 · Anoka County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55435 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$85.82 typical visit price
range $56.00 – $168.28
Typical copayment $21.45 (range $14.00 – $42.07)
Most-billed visit code 99203
Established Patient
$98.61 typical visit price
range $18.32 – $138.04
Typical copayment $24.65 (range $4.58 – $34.51)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MICHAEL CHARLES LICK
Physician Assistant
4300 MARKET PTE DR STE 100
BLOOMINGTON, MN 55435
Hennepin County (457) 495-2767
DR. CHARLES HIGGINS BROWER MD
Emergency Medicine
4300 MARKET PTE DR STE 100
BLOOMINGTON, MN 55435
Hennepin County (952) 767-4574
ZACHARY TAYLOR DO
Emergency Medicine
4300 MARKET PTE DR STE 100
BLOOMINGTON, MN 55435
Hennepin County (952) 767-4574
DR. TONY KONG VANG MD
Emergency Medicine
4300 MARKET PTE DR STE 100
BLOOMINGTON, MN 55435
Hennepin County (952) 767-4574
LAUREN DEGN PA-C
Physician Assistant
4300 MARKET PTE DR STE 100
BLOOMINGTON, MN 55435
Hennepin County (952) 767-4574
JORDAN SELL MD
Emergency Medicine
4300 MARKET PTE DR STE 100
BLOOMINGTON, MN 55435
Hennepin County (952) 767-4574
LEAH KRISTINE MORGAN MD
Emergency Medicine
4300 MARKET PTE DR STE 100
BLOOMINGTON, MN 55435
Hennepin County (952) 767-4574
MS. KRUTI TRIPATHI SHUKLA M.D.
Emergency Medicine
4300 MARKET PTE DR STE 100
BLOOMINGTON, MN 55435
Hennepin County (952) 767-4574

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Brian Bristol's NPI number?

The NPI number for Brian Bristol is 1063142628. It was assigned to this individual provider in the NPPES registry on June 15, 2022.

Where is Brian Bristol located?

Brian Bristol practices at 4300 Market Pte Dr Ste 100, Bloomington, MN 55435. The listed phone number is (952) 767-4574.

What is Brian Bristol's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Brian Bristol enrolled in Medicare?

Yes. Brian Bristol is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Brian Bristol accept?

Health plans from Medica list Brian Bristol as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Brian Bristol affiliated with any hospitals?

According to CMS data, Brian Bristol is affiliated with Mercy Hospital.

When was this NPI record last updated?

The NPPES record for Brian Bristol was last updated on May 15, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.