Active NPI
Brandon Osbon, MD
- Family Medicine Physician
- Montevideo, MN
National Provider Identifier
1871908715
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 62328
- Practice address
- 824 N 11TH St
Montevideo, MN 56265 - Phone
- (320) 269-8877
- Fax
- (320) 269-8186
- NPI assigned
- Jun 30, 2014
- 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 62328 | MN | Primary |
Addresses
Primary practice location
824 N 11TH St
Montevideo, MN 56265
Mailing address
824 N 11TH St
Montevideo, MN 56265-1629
Phone (320) 269-8877
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | bosbon482463@direct.centracare.com | Direct |
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: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20171005001200 | MN | Practitioner - Family Practice | 2961799937 | Reassigns benefits to 6 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- University of Mississippi School of Medicine, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Appleton Area Health
Practice addresses (Care Compare)
30 S Behl St
Appleton, MN 56208-1616
Phone (320) 289-2422
657 Atlantic Ave
Hancock, MN 56244-2104
Phone (320) 289-1580
Hospital & facility affiliations
- Centracare Hospice
- Appleton Area Health
- Appleton Area Health
Merit-based Incentive Payment System (MIPS)
- Final score
- 87.83 of 100
- Quality
- 84.23
- Promoting interoperability
- 80
- Improvement activities
- 40
Merit-based Incentive Payment System (MIPS)
- Final score
- 89.17 of 100
- Quality
- 96.66
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 67.25
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 62328 | MN | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Swift County-Benson Hospital | Current | Accepting new patients | |
| Appleton Area Health | Current | Accepting new patients | |
| CCM Health | Current | Accepting new patients | |
| CCM Health | Current | Accepting new patients | |
| Swift County Benson Hospital | Family Medicine | Current | Accepting new patients |
| Appleton Area Health | Current | Accepting new patients | |
| Appleton Area Health | Current | Accepting new patients | |
| Appleton Area Health | Past | Accepting new patients |
Locations
1815 Wisconsin Ave
Benson, MN 56215
Phone (320) 843-3454
824 N 11th St
Montevideo, MN 56265
Phone (320) 269-8877
Interoperability endpoints
- bosbon482463@direct.centracare.com
Organizations & group practices 8
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.
-
- Skilled Nursing Facility
- Appleton, MN
- NPI 1558424838
-
- Rural Health Clinic/Center
- Milan, MN
- NPI 1457132466
Hospital & facility affiliations 3
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": "1404086400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1719792000000",
"number": "1871908715",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "824 N 11TH ST",
"city": "MONTEVIDEO",
"state": "MN",
"postal_code": "562651629",
"telephone_number": "320-269-8877",
"fax_number": "320-269-8186"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "824 N 11TH ST",
"city": "MONTEVIDEO",
"state": "MN",
"postal_code": "56265",
"telephone_number": "320-269-8877",
"fax_number": "320-269-8186"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OSBON",
"first_name": "BRANDON",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-06-30",
"last_updated": "2024-07-01",
"certification_date": "2024-07-01",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MN",
"license": "62328",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "bosbon482463@direct.centracare.com",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "bosbon482463@direct.centracare.com",
"address_1": "1815 Wisconsin Ave",
"city": "Benson",
"state": "MN",
"country_code": "US",
"postal_code": "562151653",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Montevideo, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2024; 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.