ADRIENNE BRUDER MD
NPI 1285197848
Pediatrics - Neonatal-Perinatal Medicine in Minneapolis, MN

Q: What is Adrienne Bruder's NPI number?

The NPI number for Adrienne Bruder is 1285197848. It was assigned to this individual provider in the NPPES registry on April 10, 2019.

Q: What is Adrienne Bruder's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Neonatal-Perinatal Medicine, with taxonomy code 2080N0001X.

Q: When was this NPI record last updated?

The NPPES record for Adrienne Bruder was last updated on June 30, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.

Active since April 10, 2019PECOS Enrolled

2450 RIVERSIDE AVE, MINNEAPOLIS, MN 55454(612) 626-0644 Get Directions Write a Review

NPPES record last updated: June 30, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 30, 2025, Sep 14, 2022, Apr 10, 2019 (3 updates tracked since 2019).

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About Adrienne Bruder Md NPPES

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

ADRIENNE BRUDER MD (NPI 1285197848) is an individual neonatal-perinatal medicine provider in Minneapolis, Minnesota, licensed in Minnesota (80054) and active in the NPI registry since April 2019. She is enrolled in Medicare PECOS and is a graduate of Other (2019).

NPPES Registry Identity

NPI1285197848

Entity TypeIndividualFemale

Primary Taxonomy2080N0001X

Provider Legal NameADRIENNE BRUDERCredential: MD

Location Address2450 RIVERSIDE AVEMinneapolis, MN 55454-1450

Mailing Address2450 Riverside Ave # Ao-401Minneapolis, MN 55454-1450

Phone(612) 626-0644

Sole ProprietorYes

Medical School CMSOtherGraduated 2019

Enumeration DateApril 10, 2019

Last NPPES UpdateJune 30, 20253 updates tracked since enumeration

NPPES CertifiedJune 30, 2025

✔ NPI 1285197848 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Neonatal-Perinatal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code2080N0001X

License✔ Licensed in MN · 80054

Definition

A pediatrician who is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies.

2450 RIVERSIDE AVE, Minneapolis, MN 55454

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 (PECOS)

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

PECOS PAC ID7517342108

PECOS Enrollment IDI20250718001384

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 20

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

MICHELLE IRENE GRAY

Rehabilitation Practitioner