Brainerd Medical Center Inc
NPI 1295801777ActiveOrganization· General Practice· Brainerd, MN
General Practice in Brainerd, Minnesota, registered in NPPES in November 2006, part of Essentia Health. The authorized official on file is Kevin Boren, Vp Of Finance. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1295801777 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Essentia Health |
| NPI issued | Nov 28, 2006 |
| Last updated in NPPES | Feb 26, 2024 |
| Certified by provider | Feb 26, 2024 |
| Reactivated | Sep 14, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| General Practice Primary | 208D00000X | 8619454 | MN |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (MN) |
|---|
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