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MR. TIMOTHY RICHARD BRUSTAD L.A.D.C.
NPI 1700953353
Counselor - Addiction (Substance Use Disorder) in New Brighton, MN

Active since November 29, 2006
626 CONTINENTAL DR, NEW BRIGHTON, MN 55112(651) 341-0618 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. Timothy Richard Brustad L.a.d.c. NPPES

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

MR. TIMOTHY RICHARD BRUSTAD L.A.D.C. (NPI 1700953353) is an individual addiction (substance use disorder) provider in New Brighton, Minnesota, licensed in Minnesota (300677) and active in the NPI registry since November 2006.

NPPES Registry Identity

NPI1700953353
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameMR. TIMOTHY RICHARD BRUSTADCredential: L.A.D.C.
Location Address626 CONTINENTAL DRNew Brighton, MN 55112-7641
Mailing Address626 Continental DrNew Brighton, MN 55112-7641 · (651) 341-0618
Phone(651) 341-0618
Sole ProprietorYes
Enumeration DateNovember 29, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1700953353 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License✔ Licensed in MN · 300677
626 CONTINENTAL DR, New Brighton, MN 55112
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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 Timothy Brustad's NPI number?

The NPI number for Timothy Brustad is 1700953353. It was assigned to this individual provider in the NPPES registry on November 29, 2006.

Where is Timothy Brustad located?

Timothy Brustad practices at 626 Continental Dr, New Brighton, MN 55112. The listed phone number is (651) 341-0618.

What is Timothy Brustad's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Timothy Brustad was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.