Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.

CLARE BUNTROCK MD
NPI 1144014317
Student in an Organized Health Care Education/Training Program in Minneapolis, MN

Q: What is Clare Buntrock's NPI number?

The NPI number for Clare Buntrock is 1144014317. It was assigned to this individual provider in the NPPES registry on April 4, 2025.

Q: What is Clare Buntrock's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Q: When was this NPI record last updated?

The NPPES record for Clare Buntrock was last updated on July 1, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since April 04, 2025PECOS Enrolled

420 DELAWARE ST SE, MINNEAPOLIS, MN 55455(612) 625-3342 Get Directions Write a Review

NPPES record last updated: July 1, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Clare Buntrock Md NPPES

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

CLARE BUNTROCK MD (NPI 1144014317) is an individual student in an organized health care education/training program in Minneapolis, Minnesota and active in the NPI registry since April 2025. The provider is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1144014317

Entity TypeIndividual

Primary Taxonomy390200000X

Provider Legal NameCLARE BUNTROCKCredential: MD

Location Address420 DELAWARE ST SEMinneapolis, MN 55455-0341

Mailing Address701 Park AveMinneapolis, MN 55415-1623 · (612) 873-3000

Phone(612) 625-3342

Sole ProprietorNo

Enumeration DateApril 4, 2025

Last NPPES UpdateJuly 1, 2026

NPPES CertifiedJuly 1, 2026

✔ NPI 1144014317 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

420 DELAWARE ST SE, Minneapolis, MN 55455

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Clare Buntrock Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.