Bruce H Leppink, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

33794 Issued in MN

Practice address

404 Highway 96 W
Shoreview, MN 55126-1900

Phone

(651) 483-8283

Fax

(651) 483-8299

NPI assigned

Jul 27, 2006

Last updated

Apr 15, 2019By the provider in NPPES

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

Other identifiers 1

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

Green means eligible to order or refer.

Enrollment records 1

Specialty

Family Practice

Education

University of Minnesota Medical School, 1988

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Hospital & facility affiliations

• M Health Fairview University of MN Medical Center Hospital, Minneapolis, MN, CCN 240080
• M Health Fairview St John's Hospital Hospital, Maplewood, MN, CCN 240210

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: bruce.leppink@entira.eclinicaldirectplus.com

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.

• Family Healthservices Minnesota, P.a.

  dba Entira Family Clinics - Hugo

  • Family Medicine Physician
  • Hugo, MN
  • NPI 1639359359
  Medicare reassignment NPD
• Family Healthservices Minnesota, P.a.

  dba Entira Family Clinics-Woodbury

  • Family Medicine Physician
  • Woodbury, MN
  • NPI 1982884615
  NPD
• East Metro Family Practice, P.a.

  dba East Metro - Inver Grove

  • Family Medicine Physician
  • Inver Grove Heights, MN
  • NPI 1760600258
  NPD (past)
• Family Healthservices Minnesota, P.a.

  dba Entira Family Clinics-Shoreview

  • Family Medicine Physician
  • Shoreview, MN
  • NPI 1619157344
  NPD (past)

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

• Fairview Health Services

  dba Fairview Hospital University

  • General Acute Care Hospital
  • Minneapolis, MN
  • NPI 1013994359
  Care Compare affiliation
• Fairview Health Services

  dba Fairview Diagnostic Laboratory

  • General Acute Care Hospital
  • Minneapolis, MN
  • NPI 1316008212
  Care Compare affiliation
• Fairview Health Services

  dba University of MN Medical Center, Fairview Transitional Care

  • Skilled Nursing Facility
  • Minneapolis, MN
  • NPI 1669459913

  Hospital

  Care Compare affiliation
• Healtheast St. John's Hospital

  dba Fairview St John's Hospital

  • General Acute Care Hospital
  • Maplewood, MN
  • NPI 1447218482
  Care Compare affiliation

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

{
    "created_epoch": "1153958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1555286400000",
    "number": "1356365993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2025 SLOAN PL STE 35",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551172092",
            "telephone_number": "651-772-1572",
            "fax_number": "651-772-1889"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "404 HIGHWAY 96 W",
            "city": "SHOREVIEW",
            "state": "MN",
            "postal_code": "551261900",
            "telephone_number": "651-483-8283",
            "fax_number": "651-483-8299"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEPPINK",
        "first_name": "BRUCE",
        "middle_name": "H",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-27",
        "last_updated": "2019-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MN",
            "license": "33794",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "032073100",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lucia Jane Lein, D.C.
• Alexie Ann Leitner, PA
• Lisa Lemay, MS, LAMFT
• Laney Lemere, CCC-SLP
• Melissa Lenz
• Amy Lesher, MS, CCC-SLP
• Lifelight Counseling Services, LLC
• Lifetree Chiropractic & Wellness, LLC
• Living Hope LLC
• Leighton Martin Lommel

• Family Medicine Physician in Shoreview, MN
• Providers in Shoreview, MN by specialty
• Family Medicine Physician in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2019; 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.