Active NPI
Gail M Brottman, MD
- Pediatric Pulmonology Physician
- Minneapolis, MN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Pulmonology Physician
- License
- 29106
- Practice address
- 701 Park Ave
G7
Minneapolis, MN 55415-1623 - Phone
- (612) 873-3115
- NPI assigned
- Sep 24, 2006
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Pediatric Pulmonology Physician | 2080P0214X | 036.073387 | IL | |
| Pediatric Pulmonology Physician | 2080P0214X | 29106 | MN | Primary |
| Pediatrics Physician | 208000000X | 29106 | MN |
Addresses
Primary practice location
701 Park Ave
G7
Minneapolis, MN 55415-1623
Mailing address
Department of Pediatrics HCMC
701 Park Ave S Mail Code G-7
Minneapolis, MN 55415-0001
Phone (612) 873-2671
Other practice location 1
200 1st St SW
Rochester, MN 55905-1623
Phone (507) 284-2511
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN
- 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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036.073387 | IL | MD | Pediatric Pulmonology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of Minnesota Health Clinics and Surgery Center Inc | Current | Accepting new patients | |
| Hennepin County | Current | Accepting new patients | |
| Fairview Express Care | Current | Accepting new patients | |
| Hennepin Healthcare System, Inc | Current | Accepting new patients | |
| Fairview Express Care | Current | Accepting new patients | |
| Hennepin County | Current | Accepting new patients | |
| Fairview Express Care | Current | Accepting new patients | |
| University of Minnesota Physicians | Current | Accepting new patients | |
| Fairview Express Care | Current | Accepting new patients | |
| Hennepin Healthcare System, Inc | Current | Accepting new patients | |
| Hennepin County | Current | Accepting new patients | |
| Fairview Health Services | Current | Accepting new patients | |
| University of Minnesota Physicians | Current | Accepting new patients | |
| Fairview Health Services | Current | Accepting new patients | |
| Hennepin Healthcare System Inc | Current | Accepting new patients | |
| University of Minnesota Physicians | Current | Accepting new patients | |
| University of Minnesota Health Clinics and Surgery Center, Inc. | Current | Accepting new patients | |
| Hennepin Faculty Associates | Past | Accepting new patients |
Locations
1313 Penn Ave N
Minneapolis, MN 55411
Phone (612) 302-4600
717 Delaware St SE
Ste 340
Minneapolis, MN 55414
Phone (612) 625-3617
914 S 8th St
#D4
Minneapolis, MN 55404
Phone (612) 347-6450
720 Washington Ave SE
Minneapolis, MN 55414
Phone (612) 883-0649
701 Park Ave
Minneapolis, MN 55415
Phone (612) 873-6005
701 Park Ave
#G7
Minneapolis, MN 55415
Phone (612) 873-2686
2450 Riverside Ave
Minneapolis, MN 55454
Phone (612) 273-7838
715 S 8th St
Minneapolis, MN 55404
Phone (612) 873-6010
909 Fulton St SE
Minneapolis, MN 55455
Phone (612) 273-8383
911 Northland Dr
Princeton, MN 55371
Phone (763) 389-1313
Organizations & group practices 19
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.
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-
- Federally Qualified Health Center (FQHC)
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159056000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1545782400000",
"number": "1154421642",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "DEPARTMENT OF PEDIATRICS HCMC",
"address_2": "701 PARK AVE S MAIL CODE G-7",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554150001",
"telephone_number": "612-873-2671",
"fax_number": "612-904-4284"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "701 PARK AVE",
"address_2": "G7",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554151623",
"telephone_number": "612-873-3115"
}
],
"practiceLocations": [
{
"address_1": "200 1st St SW",
"address_purpose": "LOCATION",
"city": "Rochester",
"state": "MN",
"postal_code": "559051623",
"country_code": "US",
"telephone_number": "507-284-2511",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BROTTMAN",
"first_name": "GAIL",
"middle_name": "M",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-24",
"last_updated": "2018-12-26",
"status": "A"
},
"taxonomies": [
{
"code": "2080P0214X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Pulmonology",
"state": "IL",
"license": "036.073387",
"primary": false
},
{
"code": "2080P0214X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Pulmonology",
"state": "MN",
"license": "29106",
"primary": true
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "MN",
"license": "29106",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Minneapolis, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 2018; 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.