BRIAN LUNDSTROM PHD
NPI 1255630182
Psychiatry & Neurology - Epilepsy in Rochester, MN

Q: What is the provider's specialty?

The provider's specialty is Psychiatry & Neurology with taxonomy code 2084E0001X and a focus in Epilepsy .

Active since March 17, 2011PECOS EnrolledAccepts Medicare Assignment

200 1ST ST SW, ROCHESTER, MN 55905(507) 284-2511 Get Directions Write a Review

NPPES record last updated: July 17, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jul 17, 2024, Aug 18, 2020, Jan 18, 2019 (3 updates tracked since 2019).

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About Brian Lundstrom Phd NPPES

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

BRIAN LUNDSTROM PHD (NPI 1255630182) is an individual epilepsy provider in Rochester, Minnesota, licensed in Minnesota (58970) and active in the NPI registry since March 2011. He is enrolled in Medicare PECOS, is affiliated with Mayo Clinic Hospital Rochester, and is a graduate of University Of Washington School Of Medicine (2011).

NPPES Registry Identity

NPI1255630182

Entity TypeIndividualMale

Primary Taxonomy2084E0001X

Provider Legal NameBRIAN LUNDSTROMCredential: PHD

Location Address200 1ST ST SWRochester, MN 55905-0001

Mailing Address200 1st St SwRochester, MN 55905-0001 · (507) 284-2511

Phone(507) 284-2511

Sole ProprietorNo

Medical School CMSUniversity Of Washington School Of MedicineGraduated 2011

Enumeration DateMarch 17, 2011

Last NPPES UpdateJuly 17, 20243 updates tracked since enumeration

NPPES CertifiedJuly 17, 2024

✔ NPI 1255630182 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPsychiatry & Neurology · EpilepsyAllopathic & Osteopathic Physicians

Taxonomy Code2084E0001X

License✔ Licensed in MN · 58970

Definition

Epilepsy is a subspecialty of neurology focused on the diagnosis and treatment of patients with epilepsy, including new-onset, medically refractory epilepsy, psychogenic nonepileptic seizures, and epilepsy in special populations (the elderly, women, patients with co-morbidities). Epilepsy is a multidisciplinary field that provides comprehensive care of the patient.

Also ListedPsychiatry & Neurology · NeurologyTaxonomy 2084N0400X · License 58970 (MN)

Also ListedPsychiatry & Neurology · Clinical NeurophysiologyTaxonomy 2084N0600X · License 58970 (MN)

200 1ST ST SW, Rochester, MN 55905

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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 Lundstrom Phd 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 ID4981916202

PECOS Enrollment IDI20150630000067

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.

Mayo Clinic Hospital Rochester

Acute Care Hospitals · Rochester, MN

5/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number240010

Location1216 Second Street SouthwestRochester, MN 55902 · Olmsted County

Emergency services Birthing friendly

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.

CHRISTINE MARIA MILLER MD, PHD

Radiology (Diagnostic Radiology)