Advanced Brain and Body Clinic PLLC
NPI 1447816632ActiveOrganization· Specialist· Golden Valley, MN
Specialist in Golden Valley, Minnesota, registered in NPPES in May 2019. The authorized official on file is Stephen Paul Manlove, MD, Owner. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1447816632 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | May 14, 2019 |
| Last updated in NPPES | Jul 10, 2025 |
| Certified by provider | Jul 10, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Specialist Primary | 174400000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (MN) |
|---|
Other Specialist providers in Golden Valley
- 1154673440
- 1275654683
- 1215148366
- 1750798856
- 1497050108