Active NPI
Margit Lynn Bretzke, M.D.
- Specialist
- Saint Paul, MN
National Provider Identifier
1881640571
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 29130
- Practice address
- 310 Smith Ave N
Suite 300
Saint Paul, MN 55102-2393 - Phone
- (651) 241-5111
- Fax
- (651) 241-5512
- NPI assigned
- May 25, 2006
- 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 |
|---|---|---|---|---|
| Specialist | 174400000X | 29130 | MN | Primary |
Addresses
Primary practice location
310 Smith Ave N
Suite 300
Saint Paul, MN 55102-2393
Mailing address
310 Smith Ave N
Ste 300
Saint Paul, MN 55102-2393
Phone (651) 241-5111
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 101597D417 | Other | MN | UCARE |
| 1700453 | Other | MN | MEDICA |
| 30703100 | Other | MN | WISCONSIN MA |
| 727775000 | Medicaid | MN | |
| HP22930 | Other | MN | HEALTHPARTNERS |
| 36D56BR | Other | MN | BLUE CROSS BLUE SHIELD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 29130 | MN | MD | Internal Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148515200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1436918400000",
"number": "1881640571",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "310 SMITH AVE N",
"address_2": "STE 300",
"city": "SAINT PAUL",
"state": "MN",
"postal_code": "551022393",
"telephone_number": "651-241-5111",
"fax_number": "651-241-5512"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "310 SMITH AVE N",
"address_2": "SUITE 300",
"city": "SAINT PAUL",
"state": "MN",
"postal_code": "551022393",
"telephone_number": "651-241-5111",
"fax_number": "651-241-5512"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRETZKE",
"first_name": "MARGIT",
"middle_name": "LYNN",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-25",
"last_updated": "2015-07-15",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "MN",
"license": "29130",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UCARE",
"identifier": "101597D417",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICA",
"identifier": "1700453",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WISCONSIN MA",
"identifier": "30703100",
"state": "MN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "727775000",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHPARTNERS",
"identifier": "HP22930",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "36D56BR",
"state": "MN"
}
],
"endpoints": [],
"other_names": []
}Other providers in Saint Paul, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.