Active NPI
Graeme Anthony Browne, MD
- Emergency Medicine Physician
- Saint Louis Park, MN
National Provider Identifier
1376515213
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 31897
- Practice address
- 3850 Park Nicollet Blvd
Saint Louis Park, MN 55416-2527 - Phone
- (952) 993-1000
- NPI assigned
- Feb 5, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 31897 | MN | Primary |
Addresses
Primary practice location
3850 Park Nicollet Blvd
Saint Louis Park, MN 55416-2527
Mailing address
PO Box 130
San Fidel, NM 87049-0130
Phone (505) 552-5300
Other practice location 1
3350 203rd Ct E
Prior Lake, MN 55372
Phone (952) 847-3088
Other practice location 2
3350 203rd Ct E
Prior Lake, MN 55372
Phone (952) 847-3088
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| H3451 | Medicaid | NM |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 31897 | MN | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ecc Addiction & Toxicology Services LLC | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Medical Toxicology (Emergency Medicine) Physician
- Minneapolis, MN
- NPI 1629532429
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1139097600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1583280000000",
"number": "1376515213",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 130",
"city": "SAN FIDEL",
"state": "NM",
"postal_code": "870490130",
"telephone_number": "505-552-5300",
"fax_number": "505-552-5490"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3850 PARK NICOLLET BLVD",
"city": "SAINT LOUIS PARK",
"state": "MN",
"postal_code": "554162527",
"telephone_number": "952-993-1000"
}
],
"practiceLocations": [
{
"address_1": "3350 203rd Ct E",
"address_purpose": "LOCATION",
"city": "Prior Lake",
"state": "MN",
"postal_code": "55372",
"country_code": "US",
"telephone_number": "952-847-3088",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3350 203rd Ct E",
"address_purpose": "LOCATION",
"city": "Prior Lake",
"state": "MN",
"postal_code": "55372",
"country_code": "US",
"telephone_number": "952-847-3088",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BROWNE",
"first_name": "GRAEME",
"middle_name": "ANTHONY",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-05",
"last_updated": "2020-03-04",
"certification_date": "2020-03-04",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "MN",
"license": "31897",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "H3451",
"state": "NM"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Saint Louis Park, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2020; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.