NPIMap

Individual provider Active NPI

Brent Cleveland, MD

  • Urology Physician
  • Woodbury, MN
National Provider Identifier
1538656830
Registry record updated Jun 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
74304 Issued in MN
Practice address
6025 Lake Rd Ste 200
Woodbury, MN 55125-1710
Phone
(651) 999-6800
Fax
(833) 905-0989
NPI assigned
Apr 23, 2018
Last updated
Jun 30, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X 74304 MN Primary

Addresses

Primary practice location

6025 Lake Rd Ste 200
Woodbury, MN 55125-1710

Mailing address

6025 Lake Rd Ste 200
Woodbury, MN 55125-1710
Phone (651) 999-6800

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230721001524 MN Practitioner - Urology 9931455581 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
Indiana University School of Medicine, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Allina Health SystemGroup PAC ID 4587573613, 3,844 clinicians
Minnesota Urology, PAGroup PAC ID 0840183984, 83 clinicians

Practice addresses (Care Compare)

100 State Ave
Faribault, MN 55021-6337
Phone (507) 334-3921

6025 Lake Rd
Suite 200
Woodbury, MN 55125-1710
Phone (651) 999-6800

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Prostate resection24

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Allina Health System Current Accepting new patients
St Joseph's Medical Center CurrentSince Oct 23, 2023 Accepting new patients
St. Joseph's Medical Center Current Accepting new patients
Allina Health System CurrentSince Nov 1, 2023 Accepting new patients
St. Joseph's Medical Center CurrentSince Oct 23, 2023 Accepting new patients
Minnesota Urology, PA Urology CurrentSince Sep 5, 2023 Accepting new patients
Allina Health System CurrentSince Nov 1, 2023 Accepting new patients
Metropolitan Urologic Specialists PA Urology Past Accepting new patients

Locations

440 Elm St E
Annandale, MN 55302
Phone (320) 682-5225

2024 S 6th St
Brainerd, MN 56401
Phone (218) 828-2880

523 N 3rd St
Brainerd, MN 56401
Phone (218) 828-7394

1185 Town Centre Dr
Ste 100
Eagan, MN 55123
Phone (651) 968-5230

1185 Town Centre Dr
Ste 125
Eagan, MN 55123
Phone (651) 454-7224

100 State Ave
Faribault, MN 55021
Phone (507) 334-3921

2945 Hazelwood St
Ste 220
Maplewood, MN 55109

2215 Park Ave
Minneapolis, MN 55404
Phone (612) 775-8800

3001 Metro Dr
Ste 460
Minneapolis, MN 55425
Phone (651) 999-7022

360 Sherman St
Ste 450
Saint Paul, MN 55102
Phone (651) 641-7100

6025 Lake Rd
Ste 200
Woodbury, MN 55125

Interoperability endpoints

  • Direct secure messaging: bcleveland638224@excellian.direct.allina.com
  • Direct secure messaging: brent.cleveland.1@20581.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/20581/brand/1/csg/1/fhir/r4

Organizations & group practices 8

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.

Hospital & facility affiliations 39

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

View all 39

NPI Registry JSON

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

{
    "created_epoch": "1524441600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688083200000",
    "number": "1538656830",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6025 LAKE RD STE 200",
            "city": "WOODBURY",
            "state": "MN",
            "postal_code": "551251710",
            "telephone_number": "651-999-6800",
            "fax_number": "833-905-0989"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6025 LAKE RD STE 200",
            "city": "WOODBURY",
            "state": "MN",
            "postal_code": "551251710",
            "telephone_number": "651-999-6800",
            "fax_number": "833-905-0989"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLEVELAND",
        "first_name": "BRENT",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-04-23",
        "last_updated": "2023-06-30",
        "certification_date": "2023-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "MN",
            "license": "74304",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodbury, MN

Sources for this page

Verify at the official NPI Registry.