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BRENT D. PLACKNER PA-C
NPI 1487647996
Physician Assistant in Bayport, MN

Active since August 30, 2005
970 PICKETT ST N, BAYPORT, MN 55003(651) 779-5713(651) 747-1621 Get Directions Write a Review

NPPES record last updated: January 19, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Brent D. Plackner Pa-c NPPES

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

BRENT D. PLACKNER PA-C (NPI 1487647996) is an individual physician assistant in Bayport, Minnesota, licensed in Minnesota (11906) and active in the NPI registry since August 2005.

NPPES Registry Identity

NPI1487647996
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameBRENT D. PLACKNERCredential: PA-C
Location Address970 PICKETT ST NBayport, MN 55003-1489
Mailing Address2277 Highway 36 W Ste 140Roseville, MN 55113-3895 · (612) 255-0628 · Fax (612) 255-0647
Phone(651) 779-5713
Fax(651) 747-1621
Sole ProprietorNo
Enumeration DateAugust 30, 2005
Last NPPES UpdateJanuary 19, 2018
✔ NPI 1487647996 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Licenses✔ Licensed in MN · 11906✔ Licensed in WI · 865-23
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
970 PICKETT ST N, Bayport, MN 55003
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Other Identifiers 2

Medicaid42958400WI
Other004156125WI · Medicare Number

Other Providers at the Same Location NPPES 2

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

MENA OTOO
Counselor (Mental Health)
970 PICKETT ST N
BAYPORT, MN 55003
Washington County (651) 779-2700
DR. STANLEY DWIGHT QUANBECK M.D.
Legal Medicine
970 PICKETT ST N
BAYPORT, MN 55003
Washington County (651) 779-2700

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 Brent Plackner's NPI number?

The NPI number for Brent Plackner is 1487647996. It was assigned to this individual provider in the NPPES registry on August 30, 2005.

Where is Brent Plackner located?

Brent Plackner practices at 970 Pickett St N, Bayport, MN 55003. The listed phone number is (651) 779-5713.

What is Brent Plackner's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

When was this NPI record last updated?

The NPPES record for Brent Plackner was last updated on January 19, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.