BRG Group Corp

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

BRG GROUP CORP

Practice address

550 Main St
New Brighton, MN 55112-3271

Phone

(952) 820-5193

NPI assigned

Feb 17, 2010

Organization subpart

No

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

Authorized official

Name

Penelope Smith

Title

President

Phone

(952) 820-5193

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1266364800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1266364800000",
    "number": "1740502848",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7809 SOUTHTOWN CTR # 112",
            "city": "BLOOMINGTON",
            "state": "MN",
            "postal_code": "554311324"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 MAIN ST",
            "city": "NEW BRIGHTON",
            "state": "MN",
            "postal_code": "551123271",
            "telephone_number": "952-820-5193"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRG GROUP CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-17",
        "last_updated": "2010-02-17",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "PENELOPE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "952-820-5193"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "MN",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephanie Boysen
• Anne French Brady, LADC
• Vicki Ann Brandell, PTA
• Hannah Rose Brandt, LICSW
• Angela Brazil, LMT
• Brian L. Pierce, D.D.S., P.a.
• Douglas Briggs, LADC
• Brighter Home Health Services LLC
• Monica Broshat
• Lachelle Denise Brown

• Family Medicine Physician in New Brighton, MN
• Providers in New Brighton, MN by specialty
• Family Medicine Physician in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2010; 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.