Active NPI
Brent Thomas Warner, MD
- Orthopaedic Surgery Physician
- Woodbury, MN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- 59611
- Practice address
- 710 Commerce Dr Ste 200
Woodbury, MN 55125-4925 - Phone
- (651) 968-5042
- Fax
- (651) 968-5904
- NPI assigned
- May 25, 2009
- 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 |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | 53280 | CO | |
| Student in an Organized Health Care Education/Training Program | 390200000X | 156695 | NC | |
| Orthopaedic Surgery Physician | 207X00000X | 59611 | MN | Primary |
Addresses
Primary practice location
710 Commerce Dr Ste 200
Woodbury, MN 55125-4925
Mailing address
1185 Town Centre Dr Ste 100
Eagan, MN 55123-1188
Phone (651) 968-5042
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
- Orthopedic Surgery
- Education
- Ohio State University College of Medicine, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1661 Saint Anthony Ave
Saint Paul, MN 55104-3733
Phone (651) 968-5201
2090 Woodwinds Dr
Saint Paul, MN 55125-2522
Phone (651) 968-5201
2620 Eagan Woods Dr
Eagan, MN 55121-1138
Phone (651) 968-5201
3580 Arcade St
Vadnais Heights, MN 55127-7135
Phone (651) 968-5201
6050 Sycamore LN N
Plymouth, MN 55442-1402
Phone (651) 968-5201
Hospital & facility affiliations
- M Health Fairview Southdale Hospital
- M Health Fairview Woodwinds Hospital
- M Health Fairview Ridges Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Lower limb (leg) arthroscopy (minimally invasive joint repair) | 1-10 |
| Upper limb (arm) arthroscopy (minimally invasive joint repair) | 16 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 53280 | CO | MD | Orthopaedic Surgery Physician |
| 59611 | MN | MD | Orthopaedic Surgery Physician |
| 156695 | NC | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Summit Orthopedics LTD | Current | Accepting new patients | |
| Summit Orthopedics LTD | Orthopaedic Surgery | Current | Accepting new patients |
| Summit Orthopedics, LTD | Orthopaedic Surgery | Current | Accepting new patients |
| Ilbnc, P.a. | Past | Accepting new patients | |
| Vadnais Heights Surgery Center LLC | Past | Accepting new patients |
Locations
1185 Town Centre Dr
Ste 100
Eagan, MN 55123
Phone (651) 968-5230
1285 Nininger Rd
Ste 107
Hastings, MN 55033
Phone (651) 968-5412
1661 Saint Anthony Ave
Saint Paul, MN 55104
Phone (651) 968-5300
2620 Eagan Woods Dr
Saint Paul, MN 55121
Phone (651) 968-5142
3580 Arcade St
Vadnais Heights, MN 55127
Phone (651) 968-5600
2090 Woodwinds Dr
Woodbury, MN 55125
Phone (651) 968-5801
4123 Radio Dr
Woodbury, MN 55129
Phone (651) 968-5300
710 Commerce Dr
Ste 200
Woodbury, MN 55125
Phone (651) 968-5042
Interoperability endpoints
- brentwarner@sol.allscriptsdirect.net
Organizations & group practices 5
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.
-
- Orthopaedic Surgery Physician
- Woodbury, MN
- NPI 1306899463
-
- Orthopaedic Surgery Physician
- Eden Prairie, MN
- NPI 1417639626
-
- Clinic/Center
- Woodbury, MN
- NPI 1558870196
-
- Orthopaedic Surgery of the Spine Physician
- Bloomington, MN
- NPI 1023001815
-
- Ambulatory Surgical Clinic/Center
- Vadnais Heights, MN
- NPI 1861825986
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Minneapolis, MN
- NPI 1013994359
-
- General Acute Care Hospital
- Burnsville, MN
- NPI 1225199128
-
- General Acute Care Hospital
- Burnsville, MN
- NPI 1245217520
-
- General Acute Care Hospital
- Edina, MN
- NPI 1699752915
-
- General Acute Care Hospital
- Edina, MN
- NPI 1932260833
-
- General Acute Care Hospital
- Woodbury, MN
- NPI 1356309322
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1243209600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1442188800000",
"number": "1407081185",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1185 TOWN CENTRE DR STE 100",
"city": "EAGAN",
"state": "MN",
"postal_code": "551231188",
"telephone_number": "651-968-5042",
"fax_number": "651-968-5904"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "710 COMMERCE DR STE 200",
"city": "WOODBURY",
"state": "MN",
"postal_code": "551254925",
"telephone_number": "651-968-5042",
"fax_number": "651-968-5904"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WARNER",
"first_name": "BRENT",
"middle_name": "THOMAS",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-05-25",
"last_updated": "2015-09-14",
"status": "A"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "CO",
"license": "53280",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "NC",
"license": "156695",
"primary": false
},
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "MN",
"license": "59611",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Woodbury, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2015; 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.