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BW MEDICAL PA
NPI 1962769687
Family Medicine in Minneapolis, MN

Active since April 19, 2012
4001 STINSON BLVD NE, STE 404, MINNEAPOLIS, MN 55421(612) 706-9630(612) 706-9617 Get Directions Write a Review

NPPES record last updated: April 19, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Bw Medical Pa NPPES

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

BW MEDICAL PA (NPI 1962769687) is a healthcare organization registered as a family medicine in Minneapolis, Minnesota and active in the NPI registry since April 2012. The organization lists Kimberly J. Haycraft-williams, Owner, as its authorized official.

NPPES Registry Identity

NPI1962769687
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameBW MEDICAL PA
Location Address4001 STINSON BLVD NE, STE 404Minneapolis, MN 55421-3424
Mailing Address17620 Durant St NeHam Lake, MN 55304-4602 · (763) 413-9462 · Fax (612) 706-9617
Phone(612) 706-9630
Fax(612) 706-9617
Organization SubpartNo
Authorized OfficialKimberly J. Haycraft-williamsOwner · (612) 706-9630
Enumeration DateApril 19, 2012
✔ NPI 1962769687 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in MN · 39788
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
4001 STINSON BLVD NE, Minneapolis, MN 55421
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 10

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

ZAMZAM FARAH
Behavior Technician
4001 STINSON BLVD NE
MINNEAPOLIS, MN 55421
Anoka County (612) 587-1103
MUSHTAQ WARSAME
Behavior Technician
4001 STINSON BLVD NE
MINNEAPOLIS, MN 55421
Anoka County (612) 345-7306
MUSTAFA ADEN
Behavior Technician
4001 STINSON BLVD NE
MINNEAPOLIS, MN 55421
Anoka County (612) 208-0729
NAWAL NUUR AYDID
Behavior Technician
4001 STINSON BLVD NE
MINNEAPOLIS, MN 55421
Anoka County (612) 345-7306
NAJIB ISSE
Counselor (Mental Health)
4001 STINSON BLVD NE
MINNEAPOLIS, MN 55421
Anoka County (612) 245-0436
LIBAN A JAMA
Behavior Technician
4001 STINSON BLVD NE
MINNEAPOLIS, MN 55421
Anoka County (612) 476-9933
AMIR MUSSA
Behavior Technician
4001 STINSON BLVD NE
MINNEAPOLIS, MN 55421
Anoka County (612) 345-7306
COMPLETE HOME HEALTH SERVICES LLC
Home Health
4001 STINSON BLVD NE, SUITE 223
ST ANTHONY VILLAGE, MN 55421
Anoka County (612) 788-2273

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 Bw Medical PA's NPI number?

The NPI number for Bw Medical PA is 1962769687. It was assigned to this organization in the NPPES registry on April 19, 2012.

Where is Bw Medical PA located?

Bw Medical PA is located at 4001 Stinson Blvd NE Ste 404, Minneapolis, MN 55421. The listed phone number is (612) 706-9630.

What is Bw Medical PA's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Bw Medical PA was last updated on April 19, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.