Twin Towers, Inc.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

TWIN TOWERS, INC.

Practice address

13700 Reimer Dr N Ste 220
Maple Grove, MN 55311-4548

Phone

(763) 913-4600

Fax

(763) 424-2711

NPI assigned

Jul 18, 2019

Organization subpart

No

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

Authorized official

Name

Dr. Julie Gomer, DBH

Title

Co-Owner

Phone

(763) 913-4600

Specialties & licenses 1

Addresses

Other names 1

• Bristlecone Medical, Inc. Doing business as

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

{
    "created_epoch": "1563408000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1563408000000",
    "number": "1609429646",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13700 REIMER DR N STE 220",
            "city": "MAPLE GROVE",
            "state": "MN",
            "postal_code": "553114548",
            "telephone_number": "763-913-4600",
            "fax_number": "763-424-2711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13700 REIMER DR N STE 220",
            "city": "MAPLE GROVE",
            "state": "MN",
            "postal_code": "553114548",
            "telephone_number": "763-913-4600",
            "fax_number": "763-424-2711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TWIN TOWERS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-18",
        "last_updated": "2019-07-18",
        "status": "A",
        "authorized_official_last_name": "GOMER",
        "authorized_official_first_name": "JULIE",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "763-913-4600",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DBH"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bristlecone Medical, Inc.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Kayla Uptagrafft, ATC

• All providers in Maple Grove, MN
• Family Medicine Physician in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2019; 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.