Active NPI
Gordon Alan Beardwood, MD
- Pain Medicine (Anesthesiology) Physician
- Coon Rapids, MN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pain Medicine (Anesthesiology) Physician
- License
- 60395
- Practice address
- 2104 Northdale Blvd NW Ste 220
Coon Rapids, MN 55433-3046 - Phone
- (763) 537-6000
- NPI assigned
- Nov 2, 2005
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pain Medicine (Anesthesiology) Physician | 207LP2900X | 60395 | MN | Primary |
| Pain Medicine Physician | 208VP0000X | LT24558 | ND | |
| Anesthesiology Physician | 207L00000X | 60395 | MN |
Addresses
Primary practice location
2104 Northdale Blvd NW Ste 220
Coon Rapids, MN 55433-3046
Mailing address
2104 Northdale Blvd NW Ste 220
Coon Rapids, MN 55433-3046
Phone (763) 537-6000
Other practice location 1
701 Park Ave
Minneapolis, MN 55415-1623
Phone (612) 873-3000
Other practice location 2
7390 France Ave S
Edina, MN 55435-4500
Phone (763) 537-6000
Other practice location 3
7400 France Ave S Ste 100
Edina, MN 55435-4738
Phone (763) 537-6000
Other practice location 4
715 S 8th St
Minneapolis, MN 55404-7530
Phone (612) 873-6963
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: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Pain Management
- Education
- Loma Linda University School of Medicine, 1992
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Sanford Medical Center Fargo
Practice addresses (Care Compare)
1220 Sheyenne St
West Fargo, ND 58078-2637
Phone (701) 234-4445
2104 Northdale Blvd NW
Suite 220
Minneapolis, MN 55433-3046
Phone (763) 537-6000
2301 25TH St S
Fargo, ND 58103-6104
Phone (701) 234-7400
701 Park Ave
Minneapolis, MN 55415-1623
Phone (612) 873-6963
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 92.67 of 100
- Quality
- 74.5
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 72.86
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LT24558 | ND | MD | Pain Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hennepin Healthcare System Inc | Current | Accepting new patients | |
| Hennepin Healthcare System, Inc | Current | Accepting new patients | |
| Hennepin Healthcare System, Inc | Current | Accepting new patients | |
| Pain Care LLC | Pain Medicine | Past | Accepting new patients |
| Hennepin Healthcare System, Inc | Past | Accepting new patients | |
| Anesthesia Services of the Fox Valley SC | Anesthesiology | Past | Accepting new patients |
| Therapeutic Dimensions, PLLC | Pain Medicine | Past | Accepting new patients |
Locations
715 S 8th St
Minneapolis, MN 55404
Phone (612) 873-6010
701 Park Ave
Minneapolis, MN 55415
Phone (612) 873-6005
Organizations & group practices 8
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.
-
dba Hennepin County Medical Center
- Rehabilitation Hospital Unit
- Minneapolis, MN
- NPI 1033138136
-
- Pain Medicine Physician
- Minneapolis, MN
- NPI 1750316014
-
- Interventional Pain Medicine Physician
- Austin, TX
- NPI 1386978187
-
dba HCMC Specialty Services Pharmacy
- Specialty Pharmacy
- Minneapolis, MN
- NPI 1619567625
-
dba Hennepin County Medical Center
- Clinic/Center
- Minneapolis, MN
- NPI 1528361573
-
dba Hennepin County Medical Center
- General Acute Care Hospital
- Minneapolis, MN
- NPI 1407897309
-
- Anesthesiology Physician
- Oshkosh, WI
- NPI 1750385597
-
- Pain Medicine Physician
- Dubuque, IA
- NPI 1639460983
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Hennepin County Medical Center
- General Acute Care Hospital
- Minneapolis, MN
- NPI 1407897309
-
dba Sanford Bemidji
- Ambulatory Surgical Clinic/Center
- Bemidji, MN
- NPI 1093876922
Hospital
-
dba Sanford 1717 Medical Building
- Family Medicine Physician
- West Fargo, ND
- NPI 1184917924
Hospital
-
dba Sanford Physical Therapy
- General Acute Care Hospital
- Fargo, ND
- NPI 1245519081
-
dba Sanford POWER Center
- General Acute Care Hospital
- Fargo, ND
- NPI 1528009412
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1130889600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1780617600000",
"number": "1316938038",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2104 NORTHDALE BLVD NW STE 220",
"city": "COON RAPIDS",
"state": "MN",
"postal_code": "554333046",
"telephone_number": "763-537-6000",
"fax_number": "763-537-6666"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2104 NORTHDALE BLVD NW STE 220",
"city": "COON RAPIDS",
"state": "MN",
"postal_code": "554333046",
"telephone_number": "763-537-6000"
}
],
"practiceLocations": [
{
"address_1": "701 Park Ave",
"address_purpose": "LOCATION",
"city": "Minneapolis",
"state": "MN",
"postal_code": "554151623",
"country_code": "US",
"telephone_number": "612-873-3000",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "7390 France Ave S",
"address_purpose": "LOCATION",
"city": "Edina",
"state": "MN",
"postal_code": "554354500",
"country_code": "US",
"telephone_number": "763-537-6000",
"fax_number": "763-537-6666",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "7400 France Ave S Ste 100",
"address_purpose": "LOCATION",
"city": "Edina",
"state": "MN",
"postal_code": "554354738",
"country_code": "US",
"telephone_number": "763-537-6000",
"fax_number": "763-537-6666",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "715 S 8th St",
"address_purpose": "LOCATION",
"city": "Minneapolis",
"state": "MN",
"postal_code": "554047530",
"country_code": "US",
"telephone_number": "612-873-6963",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BEARDWOOD",
"first_name": "GORDON",
"middle_name": "ALAN",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-11-02",
"last_updated": "2026-06-05",
"certification_date": "2026-06-05",
"status": "A"
},
"taxonomies": [
{
"code": "207LP2900X",
"taxonomy_group": "",
"desc": "Anesthesiology, Pain Medicine",
"state": "MN",
"license": "60395",
"primary": true
},
{
"code": "208VP0000X",
"taxonomy_group": "",
"desc": "Pain Medicine, Pain Medicine",
"state": "ND",
"license": "LT24558",
"primary": false
},
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "MN",
"license": "60395",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Coon Rapids, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2026; 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.