Active NPI
Mary C Bretzman, MD
- Family Medicine Physician
- Eagan, MN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 38118
- Practice address
- 1110 Yankee Doodle Rd
Eagan, MN 55121-2092 - Phone
- (651) 454-3970
- Fax
- (651) 905-5087
- NPI assigned
- Apr 26, 2006
- Last updated
- Jul 13, 2026
- 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 38118 | MN | Primary |
Addresses
Primary practice location
1110 Yankee Doodle Rd
Eagan, MN 55121-2092
Mailing address
2925 Chicago Ave
Minneapolis, MN 55407-1321
Phone (612) 262-4813
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN, OH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- University of Minnesota Medical School, 1989
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2265 Como Ave
Saint Paul, MN 55108-1737
Phone (651) 645-5323
8001 Ravines Edge CT
Suite 201
Columbus, OH 43235-5423
Phone (888) 364-5977
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 38118 | MN | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Emily Program P C | Current | Accepting new patients | |
| Emily Program PC | Past | Accepting new patients |
Locations
1295 Bandana Blvd N
Ste 210
Saint Paul, MN 55108
Phone (888) 272-0784
2230 Como Ave
Saint Paul, MN 55108
Phone (651) 635-0095
2265 Como Ave
Saint Paul, MN 55108
3401 Enterprise Pkwy
Ste 250
Beachwood, OH 44122
Phone (216) 765-0500
8001 Ravines Edge Ct
Ste 201
Columbus, OH 43235
Phone (614) 896-8222
Organizations & group practices 2
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.
-
dba The Emily Program
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Saint Paul, MN
- NPI 1528165065
OH
-
dba The Emily Program
- Community/Behavioral Health Agency
- Seattle, WA
- NPI 1154696698
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146009600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1760449771",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2925 CHICAGO AVE",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554071321",
"telephone_number": "612-262-4813",
"fax_number": "612-262-4194"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1110 YANKEE DOODLE RD",
"city": "EAGAN",
"state": "MN",
"postal_code": "551212092",
"telephone_number": "651-454-3970",
"fax_number": "651-905-5087"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRETZMAN",
"first_name": "MARY",
"middle_name": "C",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-04-26",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MN",
"license": "38118",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Eagan, MN
Sources for this page
- 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; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.