Breann Elizabeth Anderson, M.D.

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

RL 12001 Issued in ND

Practice address

501 N Columbia Road, Stop 9037
Univ of North Dakota Dept of Surgery, SMHS RM 5107
Grand Forks, ND 58202-9037

Phone

(701) 777-3067

Fax

(701) 777-2609

NPI assigned

Jul 21, 2011

Last updated

Feb 28, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Specialty

General Surgery

Education

Sanford School of Medicine of University of South Dakota, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Sanford Medical Center FargoGroup PAC ID 8426967803, 1,210 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Alomere Health Hospital, Alexandria, MN, CCN 240030

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: bneiger@grhs.securechart.com
• Direct secure messaging: bneiger308136@direct.centracare.com
• FHIR API: https://fhir-usa.unify.chbase.com/org/glac-1755385c

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

• Sanford Medical Center Fargo

  dba Sanford 1717 Medical Building

  • Family Medicine Physician
  • West Fargo, ND
  • NPI 1184917924

  MN, Surgery

  Medicare reassignment Care Compare group NPD
• Glacial Ridge Hospital District

  dba Brooten Medical Center

  • Family Medicine Physician
  • Brooten, MN
  • NPI 1255348223
  Medicare reassignment NPD
• Glacial Ridge Hospital District

  • Critical Access Hospital
  • Glenwood, MN
  • NPI 1538178520
  Medicare reassignment NPD
• Sanford Medical Center Fargo

  dba Sanford POWER Center

  • General Acute Care Hospital
  • Fargo, ND
  • NPI 1528009412
  NPD
• Glacial Ridge Hospital District

  dba Starbuck Medical Center

  • Rural Health Clinic/Center
  • Starbuck, MN
  • NPI 1063952026
  NPD
• Glacial Ridge Hospital District

  dba Glenwood Medical Center

  • Family Medicine Physician
  • Glenwood, MN
  • NPI 1649285172
  NPD
• Sanford Medical Center Fargo

  • Air Ambulance
  • Fargo, ND
  • NPI 1942415468
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Alomere Health

  • General Acute Care Hospital
  • Alexandria, MN
  • NPI 1558236091
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1311206400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709078400000",
    "number": "1184902330",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "SANFORD CLINIC",
            "address_2": "1527 BROADWAY ST",
            "city": "ALEXANDRIA",
            "state": "MN",
            "postal_code": "56308",
            "telephone_number": "320-762-0399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 N COLUMBIA ROAD, STOP 9037",
            "address_2": "UNIV OF NORTH DAKOTA DEPT OF SURGERY, SMHS RM 5107",
            "city": "GRAND FORKS",
            "state": "ND",
            "postal_code": "582029037",
            "telephone_number": "701-777-3067",
            "fax_number": "701-777-2609"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "BREANN",
        "middle_name": "ELIZABETH",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-07-21",
        "last_updated": "2024-02-28",
        "certification_date": "2024-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "ND",
            "license": "RL 12001",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Scott M Amundson, DDS
• Kristi Anderson Larson
• Megan Lynn Anderson Weisgram
• Amy Lynn Anderson, OT
• Beth Jean Anderson, APRN, CNP
• Carrie Lynn Anderson, LMT
• Cassie Noelle Anderson, SLP
• Cindy M Anderson, PHD
• Gerri Lynn Anderson, LSW
• Heidi N Anderson, SLP

• Surgery Physician in Grand Forks, ND
• Providers in Grand Forks, ND by specialty
• Surgery Physician in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2024; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.