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DR. BRUCE MERRTILL TENNEBAUM M.D.
NPI 1801089024
Psychiatry & Neurology - Neurology in Minneapolis, MN

Active since August 21, 2007
3812 ZENITH AVE S, MINNEAPOLIS, MN 55410(612) 929-8087 Get Directions Write a Review

NPPES record last updated: August 21, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Bruce Merrtill Tennebaum M.d. NPPES

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

DR. BRUCE MERRTILL TENNEBAUM M.D. (NPI 1801089024) is an individual neurology provider in Minneapolis, Minnesota, licensed in Minnesota (20151) and active in the NPI registry since August 2007.

NPPES Registry Identity

NPI1801089024
Entity TypeIndividualMale
Primary Taxonomy2084N0400X
Provider Legal NameDR. BRUCE MERRTILL TENNEBAUMCredential: M.D.
Location Address3812 ZENITH AVE SMinneapolis, MN 55410-1167
Mailing Address3812 Zenith Ave SMinneapolis, MN 55410-1167 · (612) 929-8087
Phone(612) 929-8087
Sole ProprietorYes
Enumeration DateAugust 21, 2007
✔ NPI 1801089024 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians
Taxonomy Code2084N0400X
License✔ Licensed in MN · 20151
Definition
A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
3812 ZENITH AVE S, Minneapolis, MN 55410
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Other Identifiers 1

Medicare PINA94246MN

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 Bruce Tennebaum's NPI number?

The NPI number for Bruce Tennebaum is 1801089024. It was assigned to this individual provider in the NPPES registry on August 21, 2007.

Where is Bruce Tennebaum located?

Bruce Tennebaum practices at 3812 Zenith Ave S, Minneapolis, MN 55410. The listed phone number is (612) 929-8087.

What is Bruce Tennebaum's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

When was this NPI record last updated?

The NPPES record for Bruce Tennebaum was last updated on August 21, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.