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PARKER BRYAN BLEKKENK MD
NPI 1265122717
Student in an Organized Health Care Education/Training Program in Minneapolis, MN

Active since May 09, 2023PECOS Enrolled
420 DELAWARE ST SE, MMC 395, MINNEAPOLIS, MN 55455(612) 626-4939 Get Directions Write a Review

NPPES record last updated: May 9, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Parker Bryan Blekkenk Md NPPES

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

PARKER BRYAN BLEKKENK MD (NPI 1265122717) is an individual student in an organized health care education/training program in Minneapolis, Minnesota and active in the NPI registry since May 2023. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1265122717
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NamePARKER BRYAN BLEKKENKCredential: MD
Location Address420 DELAWARE ST SE, MMC 395Minneapolis, MN 55455
Mailing Address420 Delaware St Se, Mmc 395Minneapolis, MN 55455 · (612) 626-4939
Phone(612) 626-4939
Sole ProprietorNo
Enumeration DateMay 9, 2023
NPPES CertifiedApril 26, 2023
✔ NPI 1265122717 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, MMC 395, 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)

Parker Bryan Blekkenk 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.

Other Providers at the Same Location NPPES 4

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

NORMA DENNISSE JIMENEZ RAMIREZ MD
Student in an Organized Health Care Education/Training Program
420 DELAWARE ST SE, MMC 395
MINNEAPOLIS, MN 55455
Hennepin County (612) 626-4939
PRESTON P WILLIAMS MD
Obstetrics & Gynecology
420 DELAWARE ST SE, MMC 395, UNIVERSITY OF MINNESOTA PHYSICIANS
MINNEAPOLIS, MN 55455
Hennepin County (612) 884-0672
DR. STEPHANIE MARIE MACKENTHUN MD
Obstetrics & Gynecology
420 DELAWARE ST SE, MMC 395
MINNEAPOLIS, MN 55455
Hennepin County (612) 301-3417
BEKTU SOLOMON
Student in an Organized Health Care Education/Training Program
420 DELAWARE ST SE, MMC 395
MINNEAPOLIS, MN 55455
Hennepin County (612) 626-4939

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 Parker Blekkenk's NPI number?

The NPI number for Parker Blekkenk is 1265122717. It was assigned to this individual provider in the NPPES registry on May 9, 2023.

Where is Parker Blekkenk located?

Parker Blekkenk practices at 420 Delaware St SE, Mmc 395, Minneapolis, MN 55455. The listed phone number is (612) 626-4939.

What is Parker Blekkenk's specialty?

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

Is Parker Blekkenk enrolled in Medicare?

Yes. Parker Blekkenk is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Parker Blekkenk was last updated on May 9, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.