Breanna Grace Brierley

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

A2623 Issued in MN

Practice address

3960 Coon Rapids Blvd NW Ste 123
Coon Rapids, MN 55433-2521

Phone

(763) 236-7337

NPI assigned

Jan 9, 2024

Last updated

Jan 9, 2024By the provider in NPPES

Sex

Female

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)

Not enrolled

State licenses

Practice roles

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.

• Allina Health System

  dba Allina Health TeleRheumatology

  • Rheumatology Physician
  • Coon Rapids, MN
  • NPI 1952146516
  NPD (past)

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

{
    "created_epoch": "1704758400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704758400000",
    "number": "1538930680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3960 COON RAPIDS BLVD NW STE 123",
            "city": "COON RAPIDS",
            "state": "MN",
            "postal_code": "554332521"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3960 COON RAPIDS BLVD NW STE 123",
            "city": "COON RAPIDS",
            "state": "MN",
            "postal_code": "554332521",
            "telephone_number": "763-236-7337"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2727 Victoria St N",
            "address_purpose": "LOCATION",
            "city": "Roseville",
            "state": "MN",
            "postal_code": "551133029",
            "country_code": "US",
            "telephone_number": "651-483-5431",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRIERLEY",
        "first_name": "BREANNA",
        "middle_name": "GRACE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-01-09",
        "last_updated": "2024-01-09",
        "certification_date": "2024-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "MN",
            "license": "A2623",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Timothy Steven Bredow, RN, PHD,, CNP
• Kelly Lynn Breemeersch, RPH
• Robert Sylvester Breitbach, DDS
• Jordan A Brewster, M.D.
• Brian J Greteman, DPM, PA
• Julie Brisco, LP
• Benjamin Welch Britton, PT
• Angela Brod
• Barry O Brodsky, CRNA
• Sarah Jean Bronner, M.D.

• Physical Therapy Assistant in Coon Rapids, MN
• Providers in Coon Rapids, MN by specialty
• Physical Therapy Assistant in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2024; 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.