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
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rising Phoenix Natural Health, PLLC | Current |
Accepting new patients |
Locations
105 Center Ave N
Madelia, MN 56062
Phone (507) 380-5813
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 19, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.