Active NPI
Delmer Eggert, MD
- Psychiatry Physician
- Mankato, MN
National Provider Identifier
1275512212
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 19385
- Practice address
- 22 Bela Vista CT
Mankato, MN 56001-4135 - Phone
- (507) 345-6662
- NPI assigned
- Jan 10, 2006
- Last updated
- Oct 10, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 16381 | IA | |
| Psychiatry Physician | 2084P0800X | 19385 | MN | Primary |
Addresses
Primary practice location
22 Bela Vista CT
Mankato, MN 56001-4135
Mailing address
22 Bela Vista CT
Mankato, MN 56001-4135
Phone (507) 345-6662
Other identifiers 9
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 379S2EG | Other | MN | BCBS |
| 120008 | Other | MN | UCARE |
| 0572156 | Medicaid | IA | |
| 39676100 | Medicaid | MN | |
| 41084933956001F002 | Other | CHAMPUS | |
| NA2951027769 | Other | MN | PREFERRED ONE |
| P00106204 | Other | RR MEDICARE | |
| 1650080 | Other | MN | AMERICAS PPO |
| HP36647 | Other | MN | HEALTH PARTNERS |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 1938 | MN | MD | Acupuncturist |
| 16381 | IA | MD | Psychiatry Physician |
| 19385 | MN | MD | Psychiatry Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1136851200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1191974400000",
"number": "1275512212",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "22 BELA VISTA CT",
"city": "MANKATO",
"state": "MN",
"postal_code": "560014135",
"telephone_number": "507-345-6662"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "22 BELA VISTA CT",
"city": "MANKATO",
"state": "MN",
"postal_code": "560014135",
"telephone_number": "507-345-6662"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EGGERT",
"first_name": "DELMER",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-01-10",
"last_updated": "2007-10-10",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "IA",
"license": "16381",
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "MN",
"license": "19385",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "379S2EG",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UCARE",
"identifier": "120008",
"state": "MN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0572156",
"state": "IA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "39676100",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CHAMPUS",
"identifier": "41084933956001F002",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PREFERRED ONE",
"identifier": "NA2951027769",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "P00106204",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERICAS PPO",
"identifier": "1650080",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH PARTNERS",
"identifier": "HP36647",
"state": "MN"
}
],
"endpoints": [],
"other_names": []
}Other providers in Mankato, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.