BROOKLYN PARK CLINIC - DME
NPI 1558453787
Durable Medical Equipment & Medical Supplies in Brooklyn Park, MN

NPI Status: Active since September 28, 2006

Contact Information

10000 ZANE AVE N
BROOKLYN PARK, MN
ZIP 55443
Phone: (763) 572-5710
Fax: (763) 569-6200

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  • Organization
  • Durable Medical Equipment & Medical Supp...
  • CLIA Number: 24D1097781
  • CLIA Cert. Type: Community Clinic
  • CLIA Exp. Date: 09-21-2026

About BROOKLYN PARK CLINIC - DME

This page provides the complete NPI Profile along with additional information for Brooklyn Park Clinic - Dme, a provider established in Brooklyn Park, Minnesota operating as a Durable Medical Equipment & Medical Supplies. The healthcare provider is registered in the NPI registry with number 1558453787 assigned on September 2006. The practitioner's primary taxonomy code is 332B00000X. The provider is registered as an organization and their NPI record was last updated 19 years ago. The provider's other name is Brooklyn Park Clinic - Dme. The authorized official of this NPI record is Joen V Condon (Chief Financial Officer)

NPI
1558453787
Provider Legal Name
COLUMBIA PARK MEDICAL GROUP, PA
Other Organization Name
BROOKLYN PARK CLINIC - DME
Other Name Type
Other Name (5)
Entity Type
Organization
Location Address
10000 ZANE AVE N BROOKLYN PARK, MN 55443
Location Phone
(763) 572-5710
Location Fax
(763) 569-6200
Mailing Address
6401 UNIVERSITY AVE NE FRIDLEY, MN 55432
Mailing Phone
(763) 572-5710
Mailing Fax
(763) 569-6200
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
09-28-2006
Last Update Date
11-13-2007
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Durable Medical Equipment & Medical Supplies

Taxonomy Code
332B00000X
Type
Suppliers
License State
MN
Taxonomy Description
A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

JOEN V CONDON

Authorized Official Title
CHIEF FINANCIAL OFFICER
Authorized Official Phone
(763) 586-5839

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
02071BROTHER (01)MNBCBS DME NUMBER
0463570005MEDICARE NSC (07)MN 

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
24D1097781
Facility Type
Community Clinic
Certificate Effective Date
September 22, 2024
Certificate Expiration Date
September 21, 2026
Laboratory Director
DR. ERIN V. GRIMM
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Brooklyn Park Clinic - Dme to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1558453787, we treat the final digit (7) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 73. The final step is to find the difference between that total and the next multiple of ten (80 - 73 = 7).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
5
Unchanged
Pos 3
5
Doubled → 10 → 1 + 0
Pos 4
8
Unchanged
Pos 5
4
Doubled → 8
Pos 6
5
Unchanged
Pos 7
3
Doubled → 6
Pos 8
7
Unchanged
Pos 9
8
Doubled → 16 → 1 + 6
Check
7
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 5 → 10 → 1 4 → 8 3 → 6 8 → 16 → 7

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 5 + 1 + 0 + 8 + 8 + 5 + 6 + 7 + 1 + 6 + 24 = 73

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 73 is 80. The difference is the calculated check digit.

80 - 73 = 7
This NPI is valid
The calculated check digit is 7, which matches the last digit of 1558453787.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Family Medicine
10000 ZANE AVE N
BROOKLYN PARK, MN 55443
Family Medicine
10000 ZANE AVE N
BROOKLYN PARK, MN 55443
Family Medicine
10000 ZANE AVE N
BROOKLYN PARK, MN 55443
Optometrist
10000 ZANE AVE N
BROOKLYN PARK, MN 55443
Clinic/Center (Multi-Specialty)
10000 ZANE AVE N
BROOKLYN PARK, MN 55443
Eyewear Supplier
10000 ZANE AVE N
BROOKLYN PARK, MN 55443
Family Medicine
10000 ZANE AVE N
BROOKLYN PARK, MN 55443
Obstetrics & Gynecology
10000 ZANE AVE N, FAIRVIEW BROOKLYN PARK CLINIC
BROOKLYN PARK, MN 55443
Physical Therapist
10000 ZANE AVE N
BROOKLYN PARK, MN 55443
Physical Therapist
10000 ZANE AVE N
BROOKLYN PARK, MN 55443
Pediatrics
10000 ZANE AVE N
BROOKLYN PARK, MN 55443
Family Medicine
10000 ZANE AVE N, FAIRVIEW-BROOKLYN PARK CLINIC
BROOKLYN PARK, MN 55443
Internal Medicine
10000 ZANE AVE N
BROOKLYN PARK, MN 55443
Optometrist
10000 ZANE AVE N
BROOKLYN PARK, MN 55443
Physician Assistant (Medical)
10000 ZANE AVE N
BROOKLYN PARK, MN 55443
Family Medicine
10000 ZANE AVE N, FAIRVIEW BROOKLYN PARK CLINIC
BROOKLYN PARK,, MN 55443
Physician Assistant (Medical)
10000 ZANE AVE N
BROOKLYN PARK, MN 55443
Physician Assistant
10000 ZANE AVE N
BROOKLYN PARK, MN 55443
Dietitian, Registered
10000 ZANE AVE N
BROOKLYN PARK, MN 55443
Internal Medicine
10000 ZANE AVE N
BROOKLYN PARK, MN 55443

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1558453787, enumerated as an "organization" on September 28, 2006.

The provider is located at 10000 ZANE AVE N BROOKLYN PARK, MN 55443 and the phone number is (763) 572-5710.

Durable Medical Equipment & Medical Supplies with taxonomy code 332B00000X.

The provider might be accepting Accepts: Blue Cross Blue Shield, Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.