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CPMG-BROOKLYN PARK CLINIC
NPI 1215032743
Clinic/Center - Multi-Specialty in Brooklyn Park, MN

Active since September 13, 2006
10000 ZANE AVE N, BROOKLYN PARK, MN 55443(763) 572-5710(763) 569-6200 Get Directions Write a Review

NPPES record last updated: November 13, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Cpmg-brooklyn Park Clinic NPPES

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

CPMG-BROOKLYN PARK CLINIC (NPI 1215032743) is a healthcare organization registered as a multi-specialty in Brooklyn Park, Minnesota and active in the NPI registry since September 2006. The organization lists Joen V Condon, Chief Financial Officer, as its authorized official.

NPPES Registry Identity

NPI1215032743
Entity TypeOrganization
Primary Taxonomy261QM1300X
Legal Business NameCOLUMBIA PARK MEDICAL GROUP, PA
Location Address10000 ZANE AVE NBrooklyn Park, MN 55443-1400
Mailing Address6401 University Ave NeFridley, MN 55432-4341 · (763) 572-5710 · Fax (763) 571-3008
Phone(763) 572-5710
Fax(763) 569-6200
Organization SubpartYes
Authorized OfficialJoen V CondonChief Financial Officer · (763) 586-5839
Enumeration DateSeptember 13, 2006
Last NPPES UpdateNovember 13, 2007
✔ NPI 1215032743 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Multi-SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM1300X
10000 ZANE AVE N, Brooklyn Park, MN 55443
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Other Names 1

Other NameCpmg-brooklyn Park Clinic

Other Identifiers 9

Other8477MN · Healthpartners
OtherCT1003MN · Medicare Railroad
Other98-66164MN · Medica Urgent Care
Other98-01410MN · Medica Clinic Number
Medicare NSC0463570005MN
Medicare PINC00028MN
Other104022MN · Ucare Mn
OtherUC0022MN · Ucare Urgent Care
Other02071BRMN · Bcbs Of Mn

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.

HILARY G WILDE RD, CDE
Dietitian, Registered
10000 ZANE AVE N
BROOKLYN PARK, MN 55443
Hennepin County (651) 357-3818
TASHEENA BROADNAX
Physician Assistant
10000 ZANE AVE N
BROOKLYN PARK, MN 55443
Hennepin County (763) 528-6999
RENE L. ROYAL O.D.
Optometrist
10000 ZANE AVE N
BROOKLYN PARK, MN 55443
Hennepin County (763) 572-5710
DR. SYDNI KAYE DAVIS FARHAT OD
Optometrist
10000 ZANE AVE N
MINNEAPOLIS, MN 55443
Hennepin County (763) 528-6999
AUDREY ANNE QUANRUD PT
Physical Therapist
10000 ZANE AVE N
BROOKLYN PARK, MN 55443
Hennepin County (763) 572-5710
DR. CHRISTOPHER MICHAEL KISSELL FNP
Nurse Practitioner (Family)
10000 ZANE AVE N
BROOKLYN PARK, MN 55443
Hennepin County (763) 528-6999
LINDSEY MAE MILES
Physical Therapist
10000 ZANE AVE N
BROOKLYN PARK, MN 55443
Hennepin County (612) 273-6228
KRISTEN ELIZABETH METCALF PA-C
Physician Assistant
10000 ZANE AVE N
BROOKLYN PARK, MN 55443
Hennepin County (763) 528-6999

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 Columbia Park Medical Group, PA's NPI number?

The NPI number for Columbia Park Medical Group, PA is 1215032743. It was assigned to this organization in the NPPES registry on September 13, 2006. The provider is also known as Cpmg-Brooklyn Park Clinic.

Where is Columbia Park Medical Group, PA located?

Columbia Park Medical Group, PA is located at 10000 Zane Ave N, Brooklyn Park, MN 55443. The listed phone number is (763) 572-5710.

What is Columbia Park Medical Group, PA's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Multi-Specialty, with taxonomy code 261QM1300X.

When was this NPI record last updated?

The NPPES record for Columbia Park Medical Group, PA was last updated on November 13, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years 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.