Individual provider Active NPI

Brandon J Massin, M.D.

  • Diagnostic Radiology Physician
  • Eden Prairie, MN
National Provider Identifier
1205060951
Registry record updated Jul 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
2012018920 Issued in MO
Practice address
7595 Anagram Dr
Eden Prairie, MN 55344-7399
Phone
(612) 573-2200
Fax
(612) 573-2274
NPI assigned
May 11, 2009
Last updated
Jul 23, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 23, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Neuroradiology Physician 2085N0700X 2013025695 MO
Diagnostic Radiology Physician 2085R0202X 2012018920 MO Primary

Addresses

Primary practice location

7595 Anagram Dr
Eden Prairie, MN 55344-7399

Mailing address

7595 Anagram Dr
Eden Prairie, MN 55344-7399
Phone (612) 573-2200

Other practice location 1

5325 Faraon St
Saint Joseph, MO 64506-3488
Phone (816) 271-6575

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO, ND, MN3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20131015001200 MO Practitioner - Diagnostic Radiology 8921241712 Reassigns benefits to 1 organization
I20201027001574 ND Practitioner - Diagnostic Radiology 8921241712 Reassigns benefits to 2 organizations
I20201125002258 MN Practitioner - Diagnostic RadiologyPractitioner - Other (Physician) 8921241712 Reassigns benefits to 9 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Creighton University School of Medicine, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Radiology Specialists of St Joseph PCGroup PAC ID 3173508512, 18 clinicians
Mankato Clinic LTDGroup PAC ID 5597677955, 243 clinicians
Mercy Medical CenterGroup PAC ID 7416851381, shared by 2 NPIs, 78 clinicians
Warren Community Hospital IncGroup PAC ID 2264408566, 30 clinicians
Allina Health SystemGroup PAC ID 4587573613, shared by 89 NPIs, 3,844 clinicians

Practice addresses (Care Compare)

Saint Joseph, MO 64506-2843
Phone (816) 271-6575

1230 E Main St
Mankato, MN 56001-5066
Phone (507) 389-8570

1301 15TH Ave W
Williston, ND 58801-3821
Phone (701) 774-7400

1455 Saint Francis Ave
Shakopee, MN 55379-3374
Phone (952) 428-3000

300 W Good Samaritan Dr
Warren, MN 56762-1412
Phone (218) 745-4211

440 Elm St E
Annandale, MN 55302-1109
Phone (320) 682-5225

800 E 28TH St
Minneapolis, MN 55407-3723
Phone (612) 863-3110

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2013025695MOMDNeuroradiology Physician
2012018920MOMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Warren Community Hospital, Inc. CurrentSince Aug 31, 2023 Accepting new patients
Allina Health System Current Accepting new patients
St. Francis Regional Medical Center CurrentSince Nov 12, 2020 Accepting new patients
Allina Health System Current Accepting new patients
Consulting Radiologists, LTD Neuroradiology CurrentSince Sep 8, 2020 Accepting new patients
Olmsted Medical Center CurrentSince Nov 12, 2020 Accepting new patients
Allina Health System CurrentSince Nov 12, 2020 Accepting new patients
Mankato Clinic LTD Diagnostic Radiology CurrentSince Nov 12, 2020 Accepting new patients
St Francis Regional Medical Center CurrentSince Nov 12, 2020 Accepting new patients
Noran Neurological Clinic P.a. CurrentSince Nov 12, 2020 Accepting new patients
Allina Health System CurrentSince Dec 31, 2022 Accepting new patients
Radiology Chartered Diagnostic Radiology CurrentSince Oct 9, 2025 Accepting new patients
Mercy Medical Center Current Accepting new patients
Mercy Home Care CurrentSince Sep 23, 2020 Accepting new patients
Mercy Medical Center CurrentSince Sep 23, 2020 Accepting new patients
Madelia Health Current Accepting new patients
Allina Health System CurrentSince Nov 12, 2020 Accepting new patients
Olmsted Medical Center CurrentSince Nov 12, 2020 Accepting new patients
Consulting Radiologists, LTD Neuroradiology PastSince Nov 12, 2020 Accepting new patients
Quest Diagnostics LLC Il PastSince Nov 12, 2020 Accepting new patients

Locations

3369 Solutions Ctr
Chicago, IL 60677

440 Elm St E
Annandale, MN 55302
Phone (320) 682-5225

7595 Anagram Dr
Eden Prairie, MN 55344
Phone (612) 573-2214

6525 France Ave S
Ste 110
Edina, MN 55435
Phone (952) 285-3720

265 Creek Ln S
Jordan, MN 55352
Phone (952) 428-1200

121 Drew Ave SE
Madelia, MN 56062
Phone (507) 642-3255

1230 E Main St
Mankato, MN 56001
Phone (507) 389-8502

2215 Park Ave
Minneapolis, MN 55404
Phone (612) 775-8800

2828 Chicago Ave
Ste 200
Minneapolis, MN 55407
Phone 61287910001502

2925 Chicago Ave
#10957
Minneapolis, MN 55407
Phone (612) 262-8640

3601 Minnesota Dr
Ste 200
Minneapolis, MN 55435
Phone (952) 992-5691

7505 Metro Blvd
Ste 400
Minneapolis, MN 55439
Phone 61257322002246

800 E 28th St
Minneapolis, MN 55407
Phone (612) 863-3547

400 E 1st St
Morris, MN 56267
Phone (320) 589-1313

1650 4th St SE
Rochester, MN 55904
Phone (507) 285-8485

210 9th St SE
Rochester, MN 55904
Phone (507) 529-6616

1455 Saint Francis Ave
Shakopee, MN 55379
Phone (952) 403-2200

300 W Good Samaritan Dr
Warren, MN 56762
Phone (218) 745-4211

1213 15th Ave W
Williston, ND 58801
Phone (701) 572-7641

1301 15th Ave W
Williston, ND 58801
Phone (701) 774-7400

1789 Shawano Ave
Green Bay, WI 54303
Phone (920) 494-2310

Interoperability endpoints

  • Direct secure messaging: brandon.massin@direct.mymlc.com

Organizations & group practices 21

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.

View all 21

Hospital & facility affiliations 55

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

View all 55

NPI Registry JSON

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

{
    "created_epoch": "1242000000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784764800000",
    "number": "1205060951",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7595 ANAGRAM DR",
            "city": "EDEN PRAIRIE",
            "state": "MN",
            "postal_code": "553447399",
            "telephone_number": "612-573-2200",
            "fax_number": "612-573-2274"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7595 ANAGRAM DR",
            "city": "EDEN PRAIRIE",
            "state": "MN",
            "postal_code": "553447399",
            "telephone_number": "612-573-2200",
            "fax_number": "612-573-2274"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5325 Faraon St",
            "address_purpose": "LOCATION",
            "city": "Saint Joseph",
            "state": "MO",
            "postal_code": "645063488",
            "country_code": "US",
            "telephone_number": "816-271-6575",
            "fax_number": "816-271-6139",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MASSIN",
        "first_name": "BRANDON",
        "middle_name": "J",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-05-11",
        "last_updated": "2026-07-23",
        "certification_date": "2026-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085N0700X",
            "taxonomy_group": "",
            "desc": "Radiology, Neuroradiology",
            "state": "MO",
            "license": "2013025695",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MO",
            "license": "2012018920",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eden Prairie, MN

Sources for this page

Verify at the official NPI Registry.