Individual provider Active NPI

Gavin Thorsrud

  • Biomedical Photographer
  • Minneapolis, MN
National Provider Identifier
1568324341
Registry record updated Dec 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Biomedical PhotographerTaxonomy code 246ZB0302X
Practice address
1 Veterans Drive, BLDG. 70
Eye Clinic - 2E
Minneapolis, MN 55417
Phone
(612) 467-1092
NPI assigned
Dec 1, 2025
Last updated
Dec 1, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 1, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Biomedical Photographer 246ZB0302X NU Primary

Addresses

Primary practice location

1 Veterans Drive, BLDG. 70
Eye Clinic - 2E
Minneapolis, MN 55417

Mailing address

1 Veterans Drive, BLDG. 70
Eye Clinic - 2E
Minneapolis, MN 55417
Phone (612) 467-1092

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1764547200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764547200000",
    "number": "1568324341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 VETERANS DRIVE, BLDG. 70",
            "address_2": "EYE CLINIC - 2E",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "55417",
            "telephone_number": "612-467-1092"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 VETERANS DRIVE, BLDG. 70",
            "address_2": "EYE CLINIC - 2E",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "55417",
            "telephone_number": "612-467-1092"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THORSRUD",
        "first_name": "GAVIN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-12-01",
        "last_updated": "2025-12-01",
        "certification_date": "2025-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246ZB0302X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other, Biomedical Photographer",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Minneapolis, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2025; 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.