Individual provider Active NPI

Trudie R. Sprenkle, M.D.

  • Pediatrics Physician
  • Brooklyn Park, MN
National Provider Identifier
1568439651
Registry record updated Sep 22, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
43058 Issued in MN
Practice address
8500 Edinbrook Pkwy
Brooklyn Park, MN 55443-3720
Phone
(763) 425-1211
Fax
(763) 425-6277
NPI assigned
Mar 7, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 43058 MN Primary

Addresses

Primary practice location

8500 Edinbrook Pkwy
Brooklyn Park, MN 55443-3720

Mailing address

8500 Edinbrook Pkwy
Brooklyn Park, MN 55443-3720
Phone (763) 425-1211

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20131023001179 MN Practitioner - Pediatric Medicine 2860627130 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Children'S Clinic Network CurrentSince Jun 1, 2013 Accepting new patients
Children'S Clinic Network CurrentSince Jun 1, 2013 Accepting new patients
Children'S Clinic Network Current Accepting new patients
Metropolitan Pediatric Specialists, P.a. Past Accepting new patients

Locations

8500 Edinbrook Pkwy
Brooklyn Park, MN 55443
Phone (763) 425-1211

12720 Bass Lake Rd
Maple Grove, MN 55369
Phone (763) 278-0804

5901 Lincoln Dr
#2
Saint Louis Park, MN 55436
Phone (952) 992-5691

3910 Excelsior Blvd
St Louis Park, MN 55416
Phone (952) 562-8787

1547 Livingston Ave
West St Paul, MN 55118
Phone (651) 451-8050

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1141689600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1316649600000",
    "number": "1568439651",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8500 EDINBROOK PKWY",
            "city": "BROOKLYN PARK",
            "state": "MN",
            "postal_code": "554433720",
            "telephone_number": "763-425-1211",
            "fax_number": "763-425-6277"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8500 EDINBROOK PKWY",
            "city": "BROOKLYN PARK",
            "state": "MN",
            "postal_code": "554433720",
            "telephone_number": "763-425-1211",
            "fax_number": "763-425-6277"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPRENKLE",
        "first_name": "TRUDIE",
        "middle_name": "R.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-07",
        "last_updated": "2011-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MN",
            "license": "43058",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn Park, MN

Sources for this page

Verify at the official NPI Registry.