BRIAN D BRATTLOF MD - NPI 1992751820 - Surgery in Park Rapids, MN

Q: What is Brian Brattlof's NPI number?

The NPI number for Brian Brattlof is 1992751820. It was assigned to this individual provider in the NPPES registry on May 25, 2006.

Q: What is Brian Brattlof's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Q: When was this NPI record last updated?

The NPPES record for Brian Brattlof was last updated on September 29, 2011. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Brian D Brattlof Md NPPES

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

BRIAN D BRATTLOF MD (NPI 1992751820) is an individual surgery provider in Park Rapids, Minnesota, licensed in Minnesota (33031) and active in the NPI registry since May 2006.

NPPES Registry Identity

NPI1992751820

Entity TypeIndividualMale

Primary Taxonomy208600000X

Provider Legal NameBRIAN D BRATTLOFCredential: MD

Location Address705 PLEASANT AVE SPark Rapids, MN 56470-1440

Mailing Address705 Pleasant Ave SPark Rapids, MN 56470-1440 · (218) 732-2800 · Fax (218) 732-2857

Phone(218) 732-2800

Fax(218) 732-2857

Sole ProprietorNo

Enumeration DateMay 25, 2006

Last NPPES UpdateSeptember 29, 2011

✔ NPI 1992751820 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians

Taxonomy Code208600000X

License✔ Licensed in MN · 33031

Definition

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

705 PLEASANT AVE S, Park Rapids, MN 56470

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Other Identifiers 20

Other819328FM · America's Ppo/araz #

Other1M789BRFM · Mnbs #

Medicare ID-Type Unspecified0200019061FM · Rr Medicare #

Medicaid18686MN

Other5117MN · Ndbs #

Other27943BRMN · Mnbs #

Other20574BRMN · Mnbs #

Other10064MN · Ndbs #

Medicare ID-Type Unspecified029000968MN · Mn Medicare #

Medicare ID-Type Unspecified029000781MN · Mn Medicare #

Other1700584FM · Medica #

Medicaid529297200FM

Medicare ID-Type Unspecified029000971MN · Mn Medicare #

Other1700499FM · Medica #

OtherDA9041015604FM · Preferred One #

Other54913BRMN · Mnbs #

Other10475MN · Ndbs #

OtherMN200000FM · Lhs/bannerhealth #

Medicare ID-Type Unspecified020028327MN · Rr Medicare #

Medicare ID-Type Unspecified02000699MN · Mn Medicare #

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.

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