Brenda Lee Cary, MD
Individual provider Active NPI Family Medicine Physician · Virginia, MN
NPI 1053480103 · NPPES record last updated Dec 16, 2011
Key facts
- NPI
- 1053480103
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 53547 (MN)
- Practice address
- 1101 9TH Street North
Duluth Clinic - Virginia
Virginia, MN 55792 - Phone
- (218) 741-0150
- Fax
- (715) 588-7884
- NPI assigned
- Nov 6, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 29
Hospital & facility affiliations 11
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- University of Minnesota Medical School, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- The Duluth Clinic LTD
Practice addresses (Care Compare)
1101 9TH St N
Virginia, MN 55792-2329
Phone (218) 741-0150
400 E 3Rd St
Duluth, MN 55805-1951
Phone (218) 786-8364
603 9TH St N
Virginia, MN 55792-2319
Phone (218) 741-3013
705 17TH St N
Virginia, MN 55792-2176
Phone (218) 741-7106
Hospital & facility affiliations
- Aveanna Home Health
- Moments Hospice
- Essentia Health Virginia
- Range Regional Health Services
- Essentia Health Northern Pines Medical Center
- Essentia Health St Mary'S Medical Center
- The Waterview Woods LLC
- The Waterview Pines LLC
- Essentia Health Virginia Care Cent
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 1-10 |
| Removal or shaving of skin growth | 1-10 |
| Skin biopsy | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MN
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20110322001087 | MN | Practitioner - Family Practice | 3476553538 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 53547 | MN | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Duluth Clinic, LTD | Current |
Accepting new patients | |
| The Duluth Clinic, LTD. | Current |
Accepting new patients | |
| The Duluth Clinic LTD | Current | Accepting new patients | |
| The Waterview Woods LLC | Past | Accepting new patients | |
| Essentia Health Virginia, LLC | Past | Accepting new patients | |
| The Duluth Clinic, LTD | Past | Accepting new patients |
Locations
400 E 3rd St
Duluth, MN 55805
Phone (218) 722-8364
901 9th St N
Virginia, MN 55792
Phone (218) 741-3340
1101 9th St N
Virginia, MN 55792
Phone (218) 305-0000
603 9th St N
Virginia, MN 55792
Phone (218) 741-3013
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 53547 | MN | Yes |
Addresses
Primary practice location
1101 9TH Street North
Duluth Clinic - Virginia
Virginia, MN 55792
Mailing address
1101 9TH Street North
Essentia Health Virginia Clinic
Virginia, MN 55792
Phone (218) 741-0150
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 34743000 | Medicaid | WI | |
| 1053480103 | Other | WI | BCBS |
| 1053480103 | Other | MN | BCBS |
Other providers in Virginia, MN
- Dennis Lee Carlson
- Trista Marie Carlson
- Mary J Carpenter
- Roxanne Lanae Carter-Wyatt
- Joseph F Carter
- Joseph B. Caulfield
- Chaffee Chiropractic PA
- Sarah Sue Chaffee
- Jodi A Chaffin
- Cassandra Chambers
All providers in Virginia, MN · Family Medicine Physician in Minnesota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 16, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.