Individual provider Active NPI

Eric Alexander Crowder, M.D.

  • Diagnostic Radiology Physician
  • Edina, MN
National Provider Identifier
1457309924
Registry record updated Jan 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
L9157 Issued in TX
Practice address
3600 Minnesota Dr Ste 500
Edina, MN 55435-7979
Phone
(952) 595-1301
Fax
(612) 294-4903
NPI assigned
May 5, 2006
Last updated
Jan 15, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X L9157 TX Primary

Addresses

Primary practice location

3600 Minnesota Dr Ste 500
Edina, MN 55435-7979

Mailing address

3600 Minnesota Dr Ste 500
Edina, MN 55435-7979
Phone (952) 595-1301

Other practice location 1

39000 Bob Hope Dr
Rancho Mirage, CA 92270-3221
Phone (760) 340-3911

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, CA, IL, OR4 enrollments
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 4

Enrollment IDStateProvider typePAC IDDetails
I20040817001085 TX Practitioner - Diagnostic Radiology 2769455708 Reassigns benefits to 5 organizations
I20140109000393 CA Practitioner - Diagnostic Radiology 2769455708 Reassigns benefits to 1 organization
I20210511000624 IL Practitioner - Diagnostic Radiology 2769455708
I20210625002558 OR Practitioner - Diagnostic Radiology 2769455708 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
55675CAMDDentist
L9157TXMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Angelina Diagnostic Radiology Associates Diagnostic Radiology CurrentSince May 1, 2022 Accepting new patients
Southern Monterey County Memorial Hospital Current Accepting new patients
Columbia Lutheran Charities Current Accepting new patients
Virtual Radiologic Professionals of Texas I, P.a. Diagnostic Radiology CurrentSince Mar 20, 2011 Accepting new patients
Crawford Hospital District Current Accepting new patients
Kern County Hospital Authority CurrentSince Jan 27, 2025 Accepting new patients
West River Health Services Current Accepting new patients
Roseburg Radiologists P C Diagnostic Radiology CurrentSince Jun 1, 2022 Accepting new patients
Specialists in Medical Imaging SC Diagnostic Radiology CurrentSince Jun 13, 2022 Accepting new patients
Direct Radiology PLLC Diagnostic Radiology Past Accepting new patients
Lufkin Radiology Associates Diagnostic Radiology Past Accepting new patients

Locations

1700 Mount Vernon Ave
Bakersfield, CA 93306
Phone (616) 326-2000

901 Grant St
Harvard, IL 60033
Phone (815) 943-2961

3922 Mercy Dr
McHenry, IL 60050
Phone (815) 344-4499

2400 N Rockton Ave
Rockford, IL 61103
Phone (815) 971-6310

8201 E Riverside Blvd
Rockford, IL 61114
Phone (815) 971-4066

2000 Lake Ave
Woodstock, IL 60098
Phone (815) 337-4116

11995 Singletree Ln
Ste 500
Eden Prairie, MN 55344
Phone (952) 595-1143

1813 W Harvard Ave
Ste 411
Roseburg, OR 97471
Phone (541) 677-4418

2460 NW Stewart Pkwy
Ste 100
Roseburg, OR 97471
Phone (541) 229-2663

2570 NW Edenbower Blvd
Roseburg, OR 97471
Phone (541) 677-7200

2700 NW Stewart Pkwy
Roseburg, OR 97471
Phone (541) 673-0611

249 Dakota St
Sutherlin, OR 97479
Phone (541) 529-4711

2306 W Frank Ave
Ste C
Lufkin, TX 75904
Phone (936) 632-6700

505 S John Redditt Dr
Lufkin, TX 75904
Phone (713) 512-1200

Organizations & group practices 11

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.

NPI Registry JSON

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

{
    "created_epoch": "1146787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736899200000",
    "number": "1457309924",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3600 MINNESOTA DR STE 500",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554357979",
            "telephone_number": "952-595-1301",
            "fax_number": "612-294-4903"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3600 MINNESOTA DR STE 500",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554357979",
            "telephone_number": "952-595-1301",
            "fax_number": "612-294-4903"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "39000 Bob Hope Dr",
            "address_purpose": "LOCATION",
            "city": "Rancho Mirage",
            "state": "CA",
            "postal_code": "922703221",
            "country_code": "US",
            "telephone_number": "760-340-3911",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CROWDER",
        "first_name": "ERIC",
        "middle_name": "ALEXANDER",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-05",
        "last_updated": "2025-01-15",
        "certification_date": "2025-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "TX",
            "license": "L9157",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Edina, MN

Sources for this page

Verify at the official NPI Registry.