Brian D. Amdahl, M.D.

Primary specialty

Pulmonary Disease PhysicianTaxonomy code 207RP1001X

License

33382 Issued in MN

Practice address

1600 Saint Johns Blvd
Suite 201
Maplewood, MN 55109-1183

Phone

(651) 779-9322

Fax

(651) 779-9325

NPI assigned

May 17, 2006

Last updated

Jul 13, 2026By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

All facility ownership & control disclosures 5

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

Owned or controlled facilities with NPI records 5

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

• Grand Itasca Clinic and Hospital

  • Home Health Agency
  • Grand Rapids, MN
  • NPI 1558435131

  Corporate Director

  CMS ownership
• Grand Itasca Clinic and Hospital

  • General Acute Care Hospital
  • Grand Rapids, MN
  • NPI 1669426631

  Corporate Director

  CMS ownership
• Range Regional Health Services

  • General Acute Care Hospital
  • Hibbing, MN
  • NPI 1356321699

  Corporate Director

  CMS ownership
• Range Regional Health Services

  dba North Star Hospice

  • Community Based Hospice Care Agency
  • Hibbing, MN
  • NPI 1427036169

  Corporate Director

  CMS ownership
• Range Regional Health Services

  dba Healthline Homecare

  • Home Health Agency
  • Hibbing, MN
  • NPI 1992782239

  Corporate Director

  CMS ownership

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Healtheast Medical Research Institute

  dba HealthEast Vadnais Heights Clinic

  • Clinic/Center
  • Vadnais Heights, MN
  • NPI 1639125503
  Medicare reassignment NPD
• Healtheast Medical Research Institute

  dba HealthEast Professional Services

  • Internal Medicine Physician
  • Saint Paul, MN
  • NPI 1508191552
  NPD

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

{
    "created_epoch": "1147824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1609829357",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 SAINT JOHNS BLVD",
            "address_2": "SUITE 201",
            "city": "MAPLEWOOD",
            "state": "MN",
            "postal_code": "551091183",
            "telephone_number": "651-779-9322",
            "fax_number": "651-779-9325"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 SAINT JOHNS BLVD",
            "address_2": "SUITE 201",
            "city": "MAPLEWOOD",
            "state": "MN",
            "postal_code": "551091183",
            "telephone_number": "651-779-9322",
            "fax_number": "651-779-9325"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AMDAHL",
        "first_name": "BRIAN",
        "middle_name": "D.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-17",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "MN",
            "license": "33382",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "MN",
            "license": "33382",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• April Alhuniti
• Maryyam Ali, M.D.
• Garry Allen, PSYD, LP
• Allergy and Asthma Center of Minnesota PLLC
• Alliance Senior Living
• Amanda Amos, BA
• Gail M Amundson, MD
• Bhavana C Anand, MD
• Anchor and Bloom Counseling LLC
• Anchored Arms Healthcare Services LLC

• Pulmonary Disease Physician in Maplewood, MN
• Providers in Maplewood, MN by specialty
• Pulmonary Disease Physician in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.