Bryan Nicholas Rolfes, M.D.

Primary specialty

Otolaryngology/Facial Plastic Surgery PhysicianTaxonomy code 207YX0905X

License

60565 Issued in MN

Practice address

935 Wayzata Blvd E Ste 200
Wayzata, MN 55391-2513

Phone

(763) 559-4500

NPI assigned

May 3, 2010

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

Enrolled in MN

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 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• Omni Facial Plastic Surgery

  • Plastic Surgery Physician
  • Wayzata, MN
  • NPI 1003453515
  NPD Authorized official
• Omni Medical Center PLLC

  • Otolaryngology/Facial Plastic Surgery Physician
  • Wayzata, MN
  • NPI 1851991079
  NPD

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

{
    "created_epoch": "1272844800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1549929600000",
    "number": "1558688366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "935 WAYZATA BLVD E STE 200",
            "city": "WAYZATA",
            "state": "MN",
            "postal_code": "553912513",
            "telephone_number": "763-559-4500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "935 WAYZATA BLVD E STE 200",
            "city": "WAYZATA",
            "state": "MN",
            "postal_code": "553912513",
            "telephone_number": "763-559-4500"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "720 Harrison Ave",
            "address_2": "DOB 503",
            "address_purpose": "LOCATION",
            "city": "Boston",
            "state": "MA",
            "postal_code": "021182371",
            "country_code": "US",
            "telephone_number": "617-414-5405 x2",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROLFES",
        "first_name": "BRYAN",
        "middle_name": "NICHOLAS",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-05-03",
        "last_updated": "2019-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207YX0905X",
            "taxonomy_group": "",
            "desc": "Otolaryngology, Otolaryngology/Facial Plastic Surgery",
            "state": "MN",
            "license": "60565",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Reneu Physical Therapy LLC
• Renew Consultant Group LLC
• Restore Family Chiropractic LLC
• Richard L Salmela DDS PA
• RJF Counseling Inc
• Rooted in Strength Counseling PLLC
• Kelly Lee Rose, LMFT
• William Oscar Rose, LP, LMFT
• David M Ross, MD
• Jessica Nicole Roth, DC

• Otolaryngology/Facial Plastic Surgery Physician in Wayzata, MN
• Providers in Wayzata, MN by specialty
• Otolaryngology/Facial Plastic Surgery Physician in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.