Gerald G Mindrum, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

15992 Issued in MN

Practice address

1435 Waterford Dr
Golden Valley, MN 55422-4274

Phone

(763) 587-9561

NPI assigned

Jun 16, 2006

Last updated

Jul 8, 2007By 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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

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.

• Team Health Care Clinic PC

  dba Team Care Clinic

  • Chiropractor
  • Champlin, MN
  • NPI 1457458689
  NPD (past)

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

{
    "created_epoch": "1150416000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1376587691",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1435 WATERFORD DR",
            "city": "GOLDEN VALLEY",
            "state": "MN",
            "postal_code": "554224274",
            "telephone_number": "763-587-9561"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1435 WATERFORD DR",
            "city": "GOLDEN VALLEY",
            "state": "MN",
            "postal_code": "554224274",
            "telephone_number": "763-587-9561"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MINDRUM",
        "first_name": "GERALD",
        "middle_name": "G",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-16",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MN",
            "license": "15992",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristopher Carter Miller, D.C.
• Rebekah L Miller, LMFT
• Louis Millman
• Eric Andrew Mills, D.M.D.
• Mindful Resilience LLC
• Minneapolis Clinic of Neurology, LTD
• Minneapolis Health Clinic PLLC
• Minneapolis Ophthalmology ASC LLC (Minneapolis Eye Center)
• Minnesota Behavioral Resources LLC
• Minnesota Dental Implant Center (The Dental Implant Center)

• Family Medicine Physician in Golden Valley, MN
• Providers in Golden Valley, 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 Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.