City of Brainerd

Primary specialty

BusTaxonomy code 347B00000X

Legal business name

CITY OF BRAINERD

Practice address

501 Laurel St
Brainerd, MN 56401-3595

Phone

(218) 828-6172

Fax

(218) 828-6172

NPI assigned

Jan 23, 2013

Last updated

Jan 23, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Thomas W Jay

Title

Coordinator

Phone

(218) 828-6172

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1358899200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1358899200000",
    "number": "1578801700",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 LAUREL ST",
            "city": "BRAINERD",
            "state": "MN",
            "postal_code": "564013595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 LAUREL ST",
            "city": "BRAINERD",
            "state": "MN",
            "postal_code": "564013595",
            "telephone_number": "218-828-6172",
            "fax_number": "218-828-6172"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY OF BRAINERD",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-23",
        "last_updated": "2013-01-23",
        "status": "A",
        "authorized_official_last_name": "JAY",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "COORDINATOR",
        "authorized_official_telephone_number": "218-828-6172",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "347B00000X",
            "taxonomy_group": "",
            "desc": "Bus",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nathan Alexander Chan, MD
• Eric John Chapman, D.O.
• Child & Adolescent Behavioral Health Services (CABHS Brainerd)
• Christina Newell
• Shellie Cibuzar
• Kimberly Clark, BSC, COTA
• Tori P Clark, LICSW
• Melinda June Clarklattimer
• Denise Ann Cleveland, MA, RD, LD
• Linda C Cohee, PTA

• Bus in Brainerd, MN
• Providers in Brainerd, MN by specialty
• Bus in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2013; 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.