Lakes Area Urology PA

Primary specialty

Urology PhysicianTaxonomy code 208800000X

Legal business name

LAKES AREA UROLOGY PA

Practice address

1903 S 6TH St
Ste 3
Brainerd, MN 56401

Phone

(218) 828-1418

Fax

(218) 833-8037

NPI assigned

Feb 3, 2006

Organization subpart

No

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

Authorized official

Name

David Brian Paul, MDNPI 1528056595

Title

President

Phone

(218) 828-1418

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

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

• David Brian Paul, MD

  • Urology Physician
  • Brainerd, MN
  • NPI 1528056595
  NPD (past) Authorized official

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

{
    "created_epoch": "1138924800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1266278400000",
    "number": "1881666873",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1903 S 6TH ST",
            "address_2": "STE 3",
            "city": "BRAINERD",
            "state": "MN",
            "postal_code": "56401",
            "telephone_number": "218-828-1418",
            "fax_number": "218-833-8037"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1903 S 6TH ST",
            "address_2": "STE 3",
            "city": "BRAINERD",
            "state": "MN",
            "postal_code": "56401",
            "telephone_number": "218-828-1418",
            "fax_number": "218-833-8037"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKES AREA UROLOGY PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-03",
        "last_updated": "2010-02-16",
        "status": "A",
        "authorized_official_last_name": "PAUL",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "BRIAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "218-828-1418",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Urology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "739312100",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Ann Kuhn, PT
• Michelle Leigh Kulzer, PT, DPT
• Lake County Dental LTD
• Samantha Rae Lake, LICSW
• Lakes Area Consultation Services LLC
• Lakes Imaging LLC
• Lang Chiropractic Clinic PA
• Jay K Lang, DC
• Mary Lange, RD
• Nathan David Laposky, MD

• Urology Physician in Brainerd, MN
• Providers in Brainerd, MN by specialty
• Urology Physician in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2010; 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.