Brandon Royal Boswell, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

14725 Issued in MN

Practice address

400 E 3Rd St
Duluth, MN 55805-1951

Phone

(218) 786-8364

NPI assigned

Jan 7, 2022

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Physician Assistant

Education

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

The Duluth Clinic LTDGroup PAC ID 2567374283, 1,135 clinicians

Northern Pines Medical CenterGroup PAC ID 3870565641, 39 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Essentia Health St Mary'S Medical Center Hospital, Duluth, MN, CCN 240002
• Essentia Health Duluth Hospital, Duluth, MN, CCN 240019
• Essentia Health Virginia Hospital, Virginia, MN, CCN 240084
• Essentia Health Northern Pines Medical Center Hospital, Aurora, MN, CCN 241340

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Northern Pines Medical Center

  • Critical Access Hospital
  • Aurora, MN
  • NPI 1639278609
  Medicare reassignment Care Compare group NPD
• The Duluth Clinic LTD

  • Multi-Specialty Clinic/Center
  • Cloquet, MN
  • NPI 1902563638
  Medicare reassignment Care Compare group
• Pine Medical Center

  • Critical Access Hospital
  • Sandstone, MN
  • NPI 1326041633
  Medicare reassignment NPD
• Deer River Healthcare Center, Inc.

  • Critical Access Hospital
  • Deer River, MN
  • NPI 1225049018
  Medicare reassignment
• Deer River Healthcare Center, Inc.

  • Medicare Defined Swing Bed Hospital Unit
  • Deer River, MN
  • NPI 1215041199
  NPD
• Pine Medical Center

  • Multi-Specialty Clinic/Center
  • Hinckley, MN
  • NPI 1720859531
  NPD
• The Duluth Clinic, LTD

  • Multi-Specialty Clinic/Center
  • Duluth, MN
  • NPI 1245278209
  NPD
• The Duluth Clinic, LTD.

  • Community/Retail Pharmacy
  • Hinckley, MN
  • NPI 1245081066
  NPD

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

• Essentia Health Virginia, LLC

  • General Acute Care Hospital
  • Virginia, MN
  • NPI 1083617120
  Care Compare affiliation
• Northern Pines Medical Center

  • Critical Access Hospital
  • Aurora, MN
  • NPI 1639278609
  Care Compare affiliation
• Northern Pines Medical Center

  • Critical Access Hospital Clinic/Center
  • Aurora, MN
  • NPI 1881954147
  Care Compare affiliation
• St Marys Medical Center

  • General Acute Care Hospital
  • Duluth, MN
  • NPI 1457393035
  Care Compare affiliation
• St. Marys Medical Center

  • Air Ambulance
  • Duluth, MN
  • NPI 1841359478

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1641513600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706659200000",
    "number": "1346901733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 E 3RD ST",
            "city": "DULUTH",
            "state": "MN",
            "postal_code": "558051951",
            "telephone_number": "218-786-8364"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 E 3RD ST",
            "city": "DULUTH",
            "state": "MN",
            "postal_code": "558051951",
            "telephone_number": "218-786-8364"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOSWELL",
        "first_name": "BRANDON",
        "middle_name": "ROYAL",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-01-07",
        "last_updated": "2024-01-31",
        "certification_date": "2024-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MN",
            "license": "14725",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristina Louise Borman, NP
• Lauren M Borndal, MSW, LICSW
• Clara Nicole Borrell, RN
• Hailyn Grace Bos
• Kyle David Bosshart, LPCC
• Rosalea Botka
• Bryce Michael Bottila
• Alma Boucher
• Norman J Boucher, MD
• Nicole Bourgoyne, LGSW

• Physician Assistant in Duluth, MN
• Providers in Duluth, MN by specialty
• Physician Assistant in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2024; 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.

Verify at the official NPI Registry.