Caicedo Medical Group PC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

CAICEDO MEDICAL GROUP PC

Practice address

17025 Commercial Park Rd Unit 1
Brainerd, MN 56401-6254

Phone

(218) 831-7642

NPI assigned

Sep 11, 2026

Last updated

Sep 11, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Daniel Caicedo, DO

Title

President

Phone

(218) 831-7642

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1789084800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1789084800000",
    "number": "1811807753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2108 N ST STE N",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958165712",
            "telephone_number": "218-831-7642"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17025 COMMERCIAL PARK RD UNIT 1",
            "city": "BRAINERD",
            "state": "MN",
            "postal_code": "564016254",
            "telephone_number": "218-831-7642"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAICEDO MEDICAL GROUP PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-09-11",
        "last_updated": "2026-09-11",
        "certification_date": "2026-09-11",
        "status": "A",
        "authorized_official_last_name": "CAICEDO",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "218-831-7642",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• James Earl Burrell, MD
• Zachary S Burtsfield, DPT
• Marcy Marie Byrns, MD
• C S Home Care
• C.a.R.E.-Brainerd
• Jessica Mae Cain, RN
• Kathlyn Elise Callenius, DO
• Tessa L Capelle, P.T.
• Ashley Marie Carlson, HIS
• Richard G. Carlson, DDS

• Internal Medicine Physician in Brainerd, MN
• Providers in Brainerd, MN by specialty
• Internal Medicine Physician in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2026; 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.