Active NPI
Norman Martin Lunde, M.D.
- Nephrology Physician
- Brooklyn Center, MN
National Provider Identifier
1013938885
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nephrology Physician
- License
- 35209
- Practice address
- 6200 Shingle Creek Pkwy
Suite 300
Brooklyn Center, MN 55430-2128 - Phone
- (763) 561-5349
- Fax
- (763) 561-7792
- NPI assigned
- Jul 21, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nephrology Physician | 207RN0300X | 35209 | MN | Primary |
Addresses
Primary practice location
6200 Shingle Creek Pkwy
Suite 300
Brooklyn Center, MN 55430-2128
Mailing address
6200 Shingle Creek Pkwy
Suite 300
Brooklyn Center, MN 55430-2128
Phone (763) 561-5349
Other identifiers 8
| Identifier | Type | State | Issuer |
|---|---|---|---|
| HP13866 | Other | MN | HEALTHPARTNERS |
| 33006 | Other | MN | PREFERRED ONE |
| IM0509 | Other | MN | AMERICA'S PPO |
| IM439LU | Other | MN | BCBSMN |
| 3100243 | Other | MN | MEDICA |
| 32532400 | Medicaid | WI | |
| 103618C028 | Other | MN | UCARE |
| 624202200 | Medicaid | MN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153440000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1258070400000",
"number": "1013938885",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6200 SHINGLE CREEK PKWY",
"address_2": "SUITE 300",
"city": "BROOKLYN CENTER",
"state": "MN",
"postal_code": "554302128",
"telephone_number": "763-561-5349",
"fax_number": "763-561-7792"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6200 SHINGLE CREEK PKWY",
"address_2": "SUITE 300",
"city": "BROOKLYN CENTER",
"state": "MN",
"postal_code": "554302128",
"telephone_number": "763-561-5349",
"fax_number": "763-561-7792"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LUNDE",
"first_name": "NORMAN",
"middle_name": "MARTIN",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-21",
"last_updated": "2009-11-13",
"status": "A"
},
"taxonomies": [
{
"code": "207RN0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Nephrology",
"state": "MN",
"license": "35209",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHPARTNERS",
"identifier": "HP13866",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PREFERRED ONE",
"identifier": "33006",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERICA'S PPO",
"identifier": "IM0509",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBSMN",
"identifier": "IM439LU",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICA",
"identifier": "3100243",
"state": "MN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "32532400",
"state": "WI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UCARE",
"identifier": "103618C028",
"state": "MN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "624202200",
"state": "MN"
}
],
"endpoints": [],
"other_names": []
}Other providers in Brooklyn Center, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.