Active NPI
Brady Duane Baartman, PA-C
- Surgical Physician Assistant
- St Louis Park, MN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Physician Assistant
- License
- 1563
- Practice address
- 6500 Excelsior Blvd
St Louis Park, MN 55426-4702 - Phone
- (952) 993-1000
- Fax
- (952) 993-1000
- NPI assigned
- Jun 14, 2011
- 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 |
|---|---|---|---|---|
| Surgical Physician Assistant | 363AS0400X | 1563 | MN | Primary |
Addresses
Primary practice location
6500 Excelsior Blvd
St Louis Park, MN 55426-4702
Mailing address
8170 33Rd Ave S # Ms 21110Q
Bloomington, MN 55425-4516
Other practice location 1
8100 Northland Dr
Bloomington, MN 55431-4800
Phone (952) 831-1826
Other practice location 2
8290 University Ave NE
Suite 200
Fridley, MN 55432-1847
Phone (763) 786-9543
Medicare participation
Medicare enrollment files- 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: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20110722000202 | MN | Practitioner - Physician Assistant | 1052589884 | Reassigns benefits to 5 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Fairview Express CareUniversity of Minnesota Health Clinics and Surgery Center Inc
Practice addresses (Care Compare)
14101 Fairview Dr
Suite 300
Burnsville, MN 55337-2537
Phone (952) 460-4900
201 E Nicollet Blvd
Burnsville, MN 55337-5714
Phone (952) 892-2000
2450 Riverside Ave
Minneapolis, MN 55454-1450
500 Harvard St SE
Minneapolis, MN 55455-0363
Phone (612) 672-7422
717 Delaware St SE
Suite 340
Minneapolis, MN 55414-2959
Phone (612) 672-7422
909 Fulton St SE
Minneapolis, MN 55455-4800
Phone (612) 672-7422
Hospital & facility affiliations
- M Health Fairview University of MN Medical Center
- M Health Fairview Ridges Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 88.63 of 100
- Quality
- 75.41
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 75.75
Merit-based Incentive Payment System (MIPS)
- Final score
- 92.66 of 100
- Quality
- 79.17
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 73.43
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1563 | MN | MD | Acupuncturist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of Minnesota Physicians | Current | Accepting new patients | |
| Fairview Express Care | Current | Accepting new patients | |
| Fairview Express Care | Current | Accepting new patients | |
| Shriners Hospitals for Children | Current | Accepting new patients | |
| Shriners Hospitals for Children | Current | Accepting new patients | |
| University of Minnesota Physicians | Current | Accepting new patients | |
| University of Minnesota Health Clinics and Surgery Center, Inc. | Current | Accepting new patients | |
| Park Nicollet Clinic | Current | Accepting new patients | |
| University of Minnesota Health Clinics and Surgery Center Inc | Current | Accepting new patients | |
| Fairview Health Services | Past | Accepting new patients |
Locations
14101 Fairview Dr
Ste 300
Burnsville, MN 55337
Phone (612) 273-5400
14500 99th Ave N
Ste 100
Maple Grove, MN 55369
Phone (763) 898-1000
8100 Northland Dr
Minneapolis, MN 55431
Phone (952) 831-1626
5320 Hyland Greens Dr
Minneapolis, MN 55437
Phone (952) 993-2400
717 Delaware St SE
Ste 340
Minneapolis, MN 55414
Phone (612) 625-3617
720 Washington Ave SE
Minneapolis, MN 55414
Phone (612) 883-0649
2450 Riverside Ave
Minneapolis, MN 55454
Phone (612) 273-7838
2025 E River Rd
Minneapolis, MN 55414
Phone (612) 301-0115
909 Fulton St SE
Minneapolis, MN 55455
Phone (612) 273-8383
8170 33rd Ave S
#21110Q
Minneapolis, MN 55425
Phone (952) 883-5375
6500 Excelsior Blvd
St Louis Park, MN 55426
Phone (952) 993-3246
215 Radio Dr
Ste 100
Woodbury, MN 55125
Phone (612) 596-6100
Interoperability endpoints
- bbaartman696793@fairview.direct-ci.com
Organizations & group practices 23
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Clinic/Center
- Minneapolis, MN
- NPI 1053795187
MN
-
- General Practice Physician
- Edina, MN
- NPI 1831707207
-
- Cardiovascular Disease Physician
- Minneapolis, MN
- NPI 1629224258
-
- Eyewear Supplier
- Eagan, MN
- NPI 1750833562
-
- Eyewear Supplier
- Brooklyn Park, MN
- NPI 1841472644
-
- Eyewear Supplier
- Andover, MN
- NPI 1861674665
-
- Eyewear Supplier
- Fridley, MN
- NPI 1942482740
-
- Mammography Clinic/Center
- Minneapolis, MN
- NPI 1275917312
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1308009600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1615507200000",
"number": "1780979104",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8170 33RD AVE S # MS 21110Q",
"city": "BLOOMINGTON",
"state": "MN",
"postal_code": "554254516"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6500 EXCELSIOR BLVD",
"city": "ST LOUIS PARK",
"state": "MN",
"postal_code": "554264702",
"telephone_number": "952-993-1000",
"fax_number": "952-993-1000"
}
],
"practiceLocations": [
{
"address_1": "8100 Northland Dr",
"address_purpose": "LOCATION",
"city": "Bloomington",
"state": "MN",
"postal_code": "554314800",
"country_code": "US",
"telephone_number": "952-831-1826",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "8290 University Ave NE",
"address_2": "Suite 200",
"address_purpose": "LOCATION",
"city": "Fridley",
"state": "MN",
"postal_code": "554321847",
"country_code": "US",
"telephone_number": "763-786-9543",
"fax_number": "763-786-3320",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BAARTMAN",
"first_name": "BRADY",
"middle_name": "DUANE",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-06-14",
"last_updated": "2021-03-12",
"certification_date": "2021-03-12",
"status": "A"
},
"taxonomies": [
{
"code": "363AS0400X",
"taxonomy_group": "",
"desc": "Physician Assistant, Surgical",
"state": "MN",
"license": "1563",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in St Louis Park, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2021; 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.