Active NPI
Julia Marie Bruckner-Grill
- Behavior Analyst
- Stillwater, MN
National Provider Identifier
1609414952
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 0522
- Practice address
- 1701 Curve Crest Blvd W Ste 104
Stillwater, MN 55082-6181 - Phone
- (651) 342-1883
- NPI assigned
- Dec 17, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | 0522 | MN | Primary |
Addresses
Primary practice location
1701 Curve Crest Blvd W Ste 104
Stillwater, MN 55082-6181
Mailing address
1701 Curve Crest Blvd W Ste 104
Stillwater, MN 55082-6181
Phone (651) 342-1883
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0522 | MN | MD | Behavioral Analyst |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Autism Matters, Inc. | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Speech-Language Pathologist
- Plymouth, MN
- NPI 1649469289
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1576540800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1779235200000",
"number": "1609414952",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1701 CURVE CREST BLVD W STE 104",
"city": "STILLWATER",
"state": "MN",
"postal_code": "550826181",
"telephone_number": "651-342-1883"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1701 CURVE CREST BLVD W STE 104",
"city": "STILLWATER",
"state": "MN",
"postal_code": "550826181",
"telephone_number": "651-342-1883"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRUCKNER-GRILL",
"first_name": "JULIA",
"middle_name": "MARIE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-12-17",
"last_updated": "2026-05-20",
"certification_date": "2026-05-20",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "MN",
"license": "0522",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Stillwater, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.