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BRYAN CANNON MD
NPI 1942380373
Pediatrics - Pediatric Cardiology in Rochester, MN

Active since October 17, 2006PECOS EnrolledAccepts Medicare Assignment
200 1ST ST SW, ROCHESTER, MN 55905(507) 284-3297(507) 284-3968 Get Directions Write a Review

NPPES record last updated: October 7, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Oct 7, 2024, Aug 12, 2020, Nov 5, 2019 and 1 more (4 updates tracked since 2019).

About Bryan Cannon Md NPPES

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

BRYAN CANNON MD (NPI 1942380373) is an individual pediatric cardiology provider in Rochester, Minnesota, licensed in Minnesota (53291) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS, is affiliated with Texas Childrens Hosp, and is a graduate of University Of Texas Southwestern Medical School At Dallas (1995).

NPPES Registry Identity

NPI1942380373
Entity TypeIndividualMale
Primary Taxonomy2080P0202X
Provider Legal NameBRYAN CANNONCredential: MD
Location Address200 1ST ST SWRochester, MN 55905-0001
Mailing Address200 1st St SwRochester, MN 55905-0001 · (507) 284-3297 · Fax (507) 284-3968
Phone(507) 284-3297
Fax(507) 284-3968
Sole ProprietorNo
Medical School CMSUniversity Of Texas Southwestern Medical School At DallasGraduated 1995
Enumeration DateOctober 17, 2006
Last NPPES UpdateOctober 7, 20244 updates tracked since enumeration
NPPES CertifiedOctober 7, 2024
✔ NPI 1942380373 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatrics · Pediatric CardiologyAllopathic & Osteopathic Physicians
Taxonomy Code2080P0202X
Licenses✔ Licensed in MN · 53291✔ Licensed in TX · K1982✔ Licensed in IA · 41451✔ Licensed in WI · 55005
Definition

A pediatric cardiologist provides comprehensive care to patients with cardiovascular problems. This specialist is skilled in selecting, performing and evaluating the structural and functional assessment of the heart and blood vessels, and the clinical evaluation of cardiovascular disease.

Also ListedInternal Medicine · Clinical Cardiac ElectrophysiologyTaxonomy 207RC0001X · License 53291 (MN)
200 1ST ST SW, Rochester, MN 55905
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Baylor Scott and White Health Plan, Medica, Moda Health Plan, Inc..Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Bryan Cannon Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2163592619
PECOS Enrollment IDI20080610000413
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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Texas Childrens Hosp

Childrens · Houston, TX
OwnershipVoluntary non-profit - Private
CMS Certification Number453304
Location6621 Fannin StreetHouston, TX 77030 · Harris County
Emergency services

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.

CHRISTINE MARIA MILLER MD, PHD
Radiology (Diagnostic Radiology)
200 1ST ST SW
ROCHESTER, MN 55905
Olmsted County (507) 284-2511
DR. EMIL D. KORETZKY MD
Dermatology
200 1ST ST SW
ROCHESTER, MN 55905
Olmsted County (507) 284-2511
GLADYS A RADKE PAC
Physician Assistant
200 1ST ST SW
ROCHESTER, MN 55905
Olmsted County (507) 284-2511
MRS. KILEY JO JOHNSON M.S.
Genetic Counselor, MS
200 1ST ST SW
ROCHESTER, MN 55905
Olmsted County (507) 266-3317
LISA K BUSS PHARM.D.
Pharmacist
200 1ST ST SW
ROCHESTER, MN 55905
Olmsted County (507) 284-1094
DAVID R DAUGHERTY M.D.
Psychiatry & Neurology (Psychiatry)
200 1ST ST SW
ROCHESTER, MN 55905
Olmsted County (507) 284-2511
RENATO D ALARCON M.D.
Psychiatry & Neurology (Psychiatry)
200 1ST ST SW
ROCHESTER, MN 55905
Olmsted County (507) 284-2511
TANYA MARIE CADDELL R.PH.
Pharmacist
200 1ST ST SW
ROCHESTER, MN 55905
Olmsted County (507) 284-2511

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 Bryan Cannon's NPI number?

The NPI number for Bryan Cannon is 1942380373. It was assigned to this individual provider in the NPPES registry on October 17, 2006.

Where is Bryan Cannon located?

Bryan Cannon practices at 200 1st St SW, Rochester, MN 55905. The listed phone number is (507) 284-3297.

What is Bryan Cannon's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Cardiology, with taxonomy code 2080P0202X.

Is Bryan Cannon enrolled in Medicare?

Yes. Bryan Cannon is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Bryan Cannon accept?

Health plans from Baylor Scott and White Health Plan, Medica and Moda Health Plan, Inc. list Bryan Cannon as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Bryan Cannon affiliated with any hospitals?

According to CMS data, Bryan Cannon is affiliated with Texas Childrens Hosp.

When was this NPI record last updated?

The NPPES record for Bryan Cannon was last updated on October 7, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.