Individual provider Active NPI

Gail M Brottman, MD

  • Pediatric Pulmonology Physician
  • Minneapolis, MN
National Provider Identifier
1154421642
Registry record updated Dec 26, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Pulmonology PhysicianTaxonomy code 2080P0214X
License
29106 Issued in MN
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

Updated by the provider on Dec 26, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20071203000472 MN Practitioner - Pediatric MedicinePractitioner - Pulmonary Disease 5496844151 Reassigns benefits to 6 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
036.073387ILMDPediatric Pulmonology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University of Minnesota Health Clinics and Surgery Center Inc CurrentSince Jun 28, 2017 Accepting new patients
Hennepin County CurrentSince Jun 21, 2025 Accepting new patients
Fairview Express Care Current Accepting new patients
Hennepin Healthcare System, Inc Current Accepting new patients
Fairview Express Care CurrentSince Sep 4, 2012 Accepting new patients
Hennepin County CurrentSince Jun 21, 2025 Accepting new patients
Fairview Express Care CurrentSince Jan 1, 2019 Accepting new patients
University of Minnesota Physicians CurrentSince Aug 30, 2010 Accepting new patients
Fairview Express Care CurrentSince Jan 1, 2019 Accepting new patients
Hennepin Healthcare System, Inc CurrentSince Jan 1, 2012 Accepting new patients
Hennepin County Current Accepting new patients
Fairview Health Services Current Accepting new patients
University of Minnesota Physicians CurrentSince Aug 30, 2010 Accepting new patients
Fairview Health Services CurrentSince Sep 4, 2012 Accepting new patients
Hennepin Healthcare System Inc CurrentSince Jan 1, 2012 Accepting new patients
University of Minnesota Physicians Current Accepting new patients
University of Minnesota Health Clinics and Surgery Center, Inc. CurrentSince Jun 28, 2017 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.

View all 19

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

Verify at the official NPI Registry.