Lyle Maciver

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

20812 Issued in MN

Practice address

2024 S 6TH St
Brainerd, MN 56401-4529

Phone

(218) 825-7100

NPI assigned

Jan 6, 2006

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

State licenses

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

{
    "created_epoch": "1136505600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1497733638",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2024 S 6TH ST",
            "city": "BRAINERD",
            "state": "MN",
            "postal_code": "564014529",
            "telephone_number": "218-825-7100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2024 S 6TH ST",
            "city": "BRAINERD",
            "state": "MN",
            "postal_code": "564014529",
            "telephone_number": "218-825-7100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACIVER",
        "first_name": "LYLE",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-06",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "MN",
            "license": "20812",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chenise R Lozancic, PHARMD
• Luna Women'S Wellness and Birth Center PC
• Luna Women'S Wellness and Birth Center PC
• Paul Richard Lund, MD
• Sarah Lundy, DPT
• Roger Macy, MD
• Jennifer Kathleen Mahling-Stadum, MD
• John Rudolph Majerle, PHARMACIST
• Denise Majerus, LPN
• Heidi L Malling, MD

• Obstetrics & Gynecology Physician in Brainerd, MN
• Providers in Brainerd, MN by specialty
• Obstetrics & Gynecology Physician in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.