Tara Vonne Brodersen, DDS
NPI 1336138882ActiveIndividual· Dentist, General Practice· Saint Paul, MN
Dentist, General Practice (DDS) in Saint Paul, Minnesota, licensed in MN, with an NPI issued in October 2005. Part D covered 21 prescriptions written in 2024, 100% of them generic.
Overview
| NPI | 1336138882 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | DDS |
| Sole proprietor | Yes |
| NPI issued | Oct 18, 2005 |
| Last updated in NPPES | Mar 8, 2019 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist, General Practice Primary | 1223G0001X | D11913 | MN |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Dentist (MN) |
|---|
Part D prescriptions in 2024
| Prescriptions (claims) | 21 · 21 30-day fills |
|---|---|
| Patients | 17 |
| Total drug cost | $66.66 |
| Generic share | 100% of claims |
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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