Active NPI
Thomas E Applegate, M.D.
- Family Medicine Physician
- Brainerd, MN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 43598
- Practice address
- 523 N 3Rd St
Brainerd, MN 56401-3054 - Phone
- (218) 828-2861
- NPI assigned
- Sep 27, 2006
- Last updated
- Dec 31, 2024
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 7207A | WY | |
| Family Medicine Physician | 207Q00000X | ME122990 | FL | |
| Family Medicine Physician | 207Q00000X | 43598 | MN | Primary |
Addresses
Primary practice location
523 N 3Rd St
Brainerd, MN 56401-3054
Mailing address
523 N 3Rd St
Brainerd, MN 56401-3054
Phone (218) 828-2861
Other practice location 1
6901 Simmons Loop Fl 4
Riverview, FL 33578-9498
Phone (813) 302-8388
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 122039000 | Medicaid | WY | |
| W20539 | Other | WY | MEDICARE GROUP ID NUMBER |
| 53D1045098 | Other | WY | CLIA |
| 7207A | Other | WY | WYOMING MEDICAL LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Baycare Medical Group, Inc. | Family Medicine | Current | Accepting new patients |
| Baycare Medical Group, Inc. | Family Medicine | Current | Accepting new patients |
| Baycare Medical Group Pediatric Walk-in, LLC | Family Medicine | Past | Accepting new patients |
| Baycare Medical Group Pediatric Walk-in Care LLC | Past | Accepting new patients | |
| St. Joseph's Medical Center | Past | Accepting new patients | |
| Applegate Family Practice Clinic LLC | Family Medicine | Past | Accepting new patients |
Locations
2461 Enterprise Rd
Ste C
Clearwater, FL 33763
Phone (727) 725-5060
6901 Simmons Loop
Fl 4
Riverview, FL 33578
Phone (813) 302-8388
Interoperability endpoints
- thomas.applegatemd@direct.mybaycare.org
Organizations & group practices 6
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
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- NPI 1962544742
-
- Family Medicine Physician
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- NPI 1659720837
-
dba Essentia Health St. Joseph's-Pillager Clinic
- Primary Care Clinic/Center
- Pillager, MN
- NPI 1891740957
-
- Pediatrics Physician
- Lutz, FL
- NPI 1861850117
-
- Pediatrics Physician
- Tampa, FL
- NPI 1679724488
Family Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159315200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1735603200000",
"number": "1023109261",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "523 N 3RD ST",
"city": "BRAINERD",
"state": "MN",
"postal_code": "564013054",
"telephone_number": "218-828-2861"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "523 N 3RD ST",
"city": "BRAINERD",
"state": "MN",
"postal_code": "564013054",
"telephone_number": "218-828-2861"
}
],
"practiceLocations": [
{
"address_1": "6901 Simmons Loop Fl 4",
"address_purpose": "LOCATION",
"city": "Riverview",
"state": "FL",
"postal_code": "335789498",
"country_code": "US",
"telephone_number": "813-302-8388",
"fax_number": "813-302-8453",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "APPLEGATE",
"first_name": "THOMAS",
"middle_name": "E",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-27",
"last_updated": "2024-12-31",
"certification_date": "2024-12-31",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "WY",
"license": "7207A",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "FL",
"license": "ME122990",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MN",
"license": "43598",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "122039000",
"state": "WY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE GROUP ID NUMBER",
"identifier": "W20539",
"state": "WY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CLIA",
"identifier": "53D1045098",
"state": "WY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WYOMING MEDICAL LICENSE",
"identifier": "7207A",
"state": "WY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Brainerd, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.