Brett Adams, MD

Key facts

NPI

1497721765

Entity type

Individual (NPI type 1)

Primary specialty

Family Medicine Physician 207Q00000X

License

46163 (MN)

Practice address

11855 Ulysses St NE Ste 110
Blaine, MN 55434-3948

Phone

(763) 581-0555

Fax

(763) 581-0510

NPI assigned

Feb 27, 2006

Sex

Male

Sole proprietor

No

Organizations & group practices 7

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.

• Fairview Clinics Primary Care Clinic/Center · Minneapolis, MN · NPI 1346432218
  Medicare reassignment Care Compare group NPD MN
• Healtheast Medical Research Institute Clinic/Center · Vadnais Heights, MN · NPI 1639125503
  Medicare reassignment Care Compare group NPD MN
• Group Health, Inc. Multi-Specialty Clinic/Center · Minneapolis, MN · NPI 1710924683
  Medicare reassignment NPD MN
• Healtheast Medical Research Institute Internal Medicine Physician · Saint Paul, MN · NPI 1508191552
  Care Compare group NPD
• Fairview Clinics Specialist · River Falls, WI · NPI 1811550155
  Care Compare group
• Group Health, Inc. Family Medicine Physician · Stillwater, MN · NPI 1578932943
  NPD FAMILY MEDICINE
• Healtheast Medical Research Institute Clinic/Center · Maplewood, MN · NPI 1689616716
  NPD

Hospital & facility affiliations 1

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

• Healtheast St. John'S Hospital General Acute Care Hospital · Maplewood, MN · NPI 1447218482
  Care Compare affiliation Hospital

Medicare Care Compare profile

Specialty

Family Practice

Education

University of Minnesota Medical School, 2002

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Fairview Clinics (799 clinicians)
Healtheast Medical Research Institute (665 clinicians)

Practice addresses (Care Compare)

Hospital & facility affiliations

• M Health Fairview St John'S Hospital Hospital · Maplewood, MN · CCN 240210

Medicare participation

Medicare fee-for-service enrollment

Enrolled in MN

Eligible to order & refer

Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes

Medicare enrollment records

National Provider Directory

Medicare enrollment (NPD)

Yes

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: badams723596@fairview.direct-ci.com

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Oct 15, 2018.

{
    "created_epoch": "1140998400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1539561600000",
    "number": "1497721765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11855 ULYSSES ST NE STE 110",
            "city": "BLAINE",
            "state": "MN",
            "postal_code": "554343948",
            "telephone_number": "763-581-0555",
            "fax_number": "763-581-0510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11855 ULYSSES ST NE STE 110",
            "city": "BLAINE",
            "state": "MN",
            "postal_code": "554343948",
            "telephone_number": "763-581-0555",
            "fax_number": "763-581-0510"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2155 Ford Pkwy",
            "address_purpose": "LOCATION",
            "city": "Saint Paul",
            "state": "MN",
            "postal_code": "55116",
            "country_code": "US",
            "telephone_number": "651-696-5000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2155 Ford Pkwy",
            "address_purpose": "LOCATION",
            "city": "Saint Paul",
            "state": "MN",
            "postal_code": "55116",
            "country_code": "US",
            "telephone_number": "651-696-5000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ADAMS",
        "first_name": "BRETT",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-27",
        "last_updated": "2018-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MN",
            "license": "46163",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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