Brian Peter Di Diego, ND

Individual provider Active NPI Naturopath · Madelia, MN

NPI 1104544741 · NPPES record last updated Aug 19, 2022

Key facts

NPI
1104544741
Entity type
Individual (NPI type 1)
Primary specialty
Naturopath 175F00000X
Practice address
105 Center Ave N
Madelia, MN 56062-1429
Phone
(507) 412-1219
NPI assigned
Aug 19, 2022
Sex
Male
Sole proprietor
Yes

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Practice roles

OrganizationSpecialtyStatusNew patients
Rising Phoenix Natural Health, PLLC Current
since Aug 28, 2022
Accepting new patients

Locations

105 Center Ave N
Madelia, MN 56062
Phone (507) 380-5813

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Naturopath 175F00000X Yes

Addresses

Primary practice location

105 Center Ave N
Madelia, MN 56062-1429

Mailing address

47544 105TH St
Truman, MN 56088-2172
Phone (520) 227-1505

Other providers in Madelia, MN

All providers in Madelia, MN · Naturopath in Minnesota

Sources for this page

Verify at the official NPI Registry.