Organization Active NPI

Brenda Baker Pac LLC

  • Physician Assistant
  • Minneapolis, MN
National Provider Identifier
1003743857
Registry record updated May 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Legal business name
BRENDA BAKER PAC LLC
Practice address
330 S 2ND St Ste 200-1538
Minneapolis, MN 55401-2513
Phone
(612) 876-2775
Fax
(612) 808-1815
NPI assigned
May 6, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 6, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Brenda Joy Baker, PACNPI 1417922873
Title
Owner
Phone
(952) 200-5238

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician AssistantGroup: 193400000X SINGLE SPECIALTY GROUP 363A00000X Primary

Addresses

Primary practice location

330 S 2ND St Ste 200-1538
Minneapolis, MN 55401-2513

Mailing address

330 S 2ND St Ste 200-1538
Minneapolis, MN 55401-2513
Phone (612) 876-2775

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1778025600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1778025600000",
    "number": "1003743857",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "330 S 2ND ST STE 200-1538",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554012513",
            "telephone_number": "612-876-2775",
            "fax_number": "612-808-1815"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "330 S 2ND ST STE 200-1538",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554012513",
            "telephone_number": "612-876-2775",
            "fax_number": "612-808-1815"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRENDA BAKER PAC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-05-06",
        "last_updated": "2026-05-06",
        "certification_date": "2026-05-06",
        "status": "A",
        "authorized_official_last_name": "BAKER",
        "authorized_official_first_name": "BRENDA",
        "authorized_official_middle_name": "JOY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "952-200-5238",
        "authorized_official_credential": "PAC"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Minneapolis, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.