Individual provider Active NPI

Brian Michael Krasnow, M.D.

  • Neurology Physician
  • Saint Paul, MN
National Provider Identifier
1265790414
Registry record updated Apr 25, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
16597 Issued in MN
Practice address
1746 Hillcrest Avenue
Saint Paul, MN 55116-2151
Phone
(651) 690-0668
Fax
(651) 690-2878
NPI assigned
Apr 25, 2012
Last updated
Apr 25, 2012By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 25, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X 16597 MN Primary

Addresses

Primary practice location

1746 Hillcrest Avenue
Saint Paul, MN 55116-2151

Mailing address

1746 Hillcrest Avenue
Saint Paul, MN 55116-2151
Phone (651) 690-0668

Other identifiers 1

IdentifierTypeStateIssuer
16597OtherMINNESOTA LICENSE MEDICAL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
16597MNMDNeurology Physician

NPI Registry JSON

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

{
    "created_epoch": "1335312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1335312000000",
    "number": "1265790414",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1746 HILLCREST AVENUE",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551162151",
            "telephone_number": "651-690-0668",
            "fax_number": "651-690-2878"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1746 HILLCREST AVENUE",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551162151",
            "telephone_number": "651-690-0668",
            "fax_number": "651-690-2878"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRASNOW",
        "first_name": "BRIAN",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-04-25",
        "last_updated": "2012-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "MN",
            "license": "16597",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MINNESOTA LICENSE MEDICAL",
            "identifier": "16597",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Paul, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.