Michael Bevan, DPM, PLLC

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

Legal business name

MICHAEL BEVAN, DPM, PLLC

Practice address

7600 France Ave S Ste 1100
Edina, MN 55435-5936

Phone

(612) 998-8661

NPI assigned

Mar 4, 2021

Organization subpart

No

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

Authorized official

Name

Dr. Michael Stephen Bevan, DPMNPI 1629389341

Title

Podiatrist/Owner

Phone

(952) 926-3566

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in MN

Enrollment records 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Michael Stephen Bevan, DPM

  • Primary Podiatric Medicine Podiatrist
  • Minneapolis, MN
  • NPI 1629389341
  Medicare reassignment Care Compare group NPD Authorized official
• Long Le, DPM

  • Foot & Ankle Surgery Podiatrist
  • Edina, MN
  • NPI 1548217458
  Medicare reassignment Care Compare group NPD
• Minh Chau Margaret Nguyen, DPM

  • Primary Podiatric Medicine Podiatrist
  • Edina, MN
  • NPI 1760465215
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1614816000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1742342400000",
    "number": "1841885597",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7600 FRANCE AVE S STE 1100",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554355936",
            "telephone_number": "612-998-8661"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7600 FRANCE AVE S STE 1100",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554355936",
            "telephone_number": "612-998-8661"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12940 Harriet Ave S Ste 210",
            "address_purpose": "LOCATION",
            "city": "Burnsville",
            "state": "MN",
            "postal_code": "553372680",
            "country_code": "US",
            "telephone_number": "952-926-3566",
            "fax_number": "952-426-0029",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MICHAEL BEVAN, DPM, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-04",
        "last_updated": "2025-03-19",
        "certification_date": "2025-03-19",
        "status": "A",
        "authorized_official_last_name": "BEVAN",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "STEPHEN",
        "authorized_official_title_or_position": "PODIATRIST/OWNER",
        "authorized_official_telephone_number": "952-926-3566",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Edina",
            "affiliation": "N",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "7600 France Ave S",
            "city": "Edina",
            "state": "MN",
            "country_code": "US",
            "postal_code": "554355924",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Eric Theodore Meysembourg, NONE
• Michelle Mezera, RD, LD
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• MH Health Care Services, PC
• Philip Robert Mic, PA-C
• Michael T Kratz DDS PA
• Jill Michel, ATC
• Kollin Douglas Michels, PA-C
• Tiana Gunnar Mick, RD
• Mid-Minnesota Radiation Oncology, PA

• Foot & Ankle Surgery Podiatrist in Edina, MN
• Providers in Edina, MN by specialty
• Foot & Ankle Surgery Podiatrist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.