Individual provider Active NPI

Brianna Galang, PA-C

  • Physician Assistant
  • Zimmerman, MN
National Provider Identifier
1295514644
Registry record updated Dec 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
15477 Issued in MN
Practice address
12643 Fremont Ave
Zimmerman, MN 55398-9755
Phone
(763) 260-4750
NPI assigned
Sep 25, 2023
Last updated
Dec 23, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 23, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 15477 MN Primary

Addresses

Primary practice location

12643 Fremont Ave
Zimmerman, MN 55398-9755

Mailing address

200 1St St SW
Rochester, MN 55905-0001
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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251028004498 MN Practitioner - Physician Assistant 8224527429 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Mayo Medical School, 2025
Medicare assignment
May accept Medicare assignment
Group practices
Advocate Urgent Care PLLCGroup PAC ID 4880043082, 18 clinicians
MN UC Providers LTDGroup PAC ID 8729461421, 14 clinicians

Practice addresses (Care Compare)

11091 Jason Ave NE
Suite 300
Albertville, MN 55301-4699
Phone (763) 260-4750

12643 Fremont Ave
Zimmerman, MN 55398-9755
Phone (218) 838-9355

415 17TH Ave N
Suite 100
Hopkins, MN 55343-7226
Phone (952) 931-1276

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
15477MNMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Advocate Urgent Care PLLC Physician Assistant CurrentSince Sep 8, 2025 Accepting new patients
MN UC Providers LTD CurrentSince Sep 8, 2025 Accepting new patients
MN UC Providers LTD CurrentSince Sep 8, 2025 Accepting new patients

Locations

415 17th Ave N
Ste 100
Hopkins, MN 55343
Phone (952) 931-1276

13540 Grove Dr N
Maple Grove, MN 55311
Phone (952) 931-1276

12643 Fremont Ave
Zimmerman, MN 55398
Phone (218) 838-9355

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1695600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1766448000000",
    "number": "1295514644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 1ST ST SW",
            "city": "ROCHESTER",
            "state": "MN",
            "postal_code": "559050001",
            "telephone_number": "507-284-2511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12643 FREMONT AVE",
            "city": "ZIMMERMAN",
            "state": "MN",
            "postal_code": "553989755",
            "telephone_number": "763-260-4750"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GALANG",
        "first_name": "BRIANNA",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-09-25",
        "last_updated": "2025-12-23",
        "certification_date": "2025-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MN",
            "license": "15477",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Zimmerman, MN

Sources for this page

Verify at the official NPI Registry.