Active NPI
Brandt Neil Merrild, MD
- Internal Medicine Physician
- Burnsville, MN
National Provider Identifier
1659335016
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 20923
- Practice address
- 303 E Nicollet Blvd
Suite 120
Burnsville, MN 55337-4522 - Phone
- (952) 460-4000
- Fax
- (952) 460-4000
- NPI assigned
- Apr 13, 2006
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 20923 | MN | Primary |
Addresses
Primary practice location
303 E Nicollet Blvd
Suite 120
Burnsville, MN 55337-4522
Mailing address
303 E Nicollet Blvd
Suite 120
Burnsville, MN 55337-4522
Phone (952) 460-4000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 150383900 | Medicaid | MN |
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)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144886400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1336003200000",
"number": "1659335016",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "303 E NICOLLET BLVD",
"address_2": "SUITE 120",
"city": "BURNSVILLE",
"state": "MN",
"postal_code": "553374522",
"telephone_number": "952-460-4000",
"fax_number": "952-460-4000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "303 E NICOLLET BLVD",
"address_2": "SUITE 120",
"city": "BURNSVILLE",
"state": "MN",
"postal_code": "553374522",
"telephone_number": "952-460-4000",
"fax_number": "952-460-4000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MERRILD",
"first_name": "BRANDT",
"middle_name": "NEIL",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-13",
"last_updated": "2012-05-03",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MN",
"license": "20923",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "150383900",
"state": "MN"
}
],
"endpoints": [],
"other_names": []
}Other providers in Burnsville, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.