NPIMap

Organization Active NPI

Pipestone Family Clinic

Doing business as Edgerton Family Clinic

  • Family Medicine Physician
  • Edgerton, MN
National Provider Identifier
1891876223
Registry record updated Aug 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
2569527 Issued in MN
Legal business name
PIPESTONE FAMILY CLINIC
Doing business as
Edgerton Family Clinic
Practice address
303 5TH Avenue North
Edgerton, MN 56128
Phone
(507) 442-5424
Fax
(507) 442-8498
NPI assigned
Oct 19, 2006
Last updated
Aug 11, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2026

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

Authorized official

Name
Mr. Bradley Burris
Title
Hospital Administrator
Phone
(507) 825-5811

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X 2569527 MN Primary

Addresses

Primary practice location

303 5TH Avenue North
Edgerton, MN 56128

Mailing address

920 4TH Ave SW
Pipestone, MN 56164-1455
Phone (507) 825-5700

Other identifiers 1

IdentifierTypeStateIssuer
149723500MedicaidMN

Other names 1

  • Edgerton Family Clinic Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
24D0932679Edgerton Family Clinic303 5TH Ave N, Edgerton, MN 56128Certificate of waiverJan 2, 2027

National Provider Directory

National Provider Directory
Tax ID family
Pipestone County Medica9 organizations share this tax ID, including this one

Other organizations with this tax ID 8

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1161216000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1786406400000",
    "number": "1891876223",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "920 4TH AVE SW",
            "city": "PIPESTONE",
            "state": "MN",
            "postal_code": "561641455",
            "telephone_number": "507-825-5700",
            "fax_number": "507-825-4752"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "303 5TH AVENUE NORTH",
            "city": "EDGERTON",
            "state": "MN",
            "postal_code": "56128",
            "telephone_number": "507-442-5424",
            "fax_number": "507-442-8498"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PIPESTONE FAMILY CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-19",
        "last_updated": "2026-08-11",
        "certification_date": "2026-08-11",
        "status": "A",
        "authorized_official_last_name": "BURRIS",
        "authorized_official_first_name": "BRADLEY",
        "authorized_official_title_or_position": "HOSPITAL ADMINISTRATOR",
        "authorized_official_telephone_number": "507-825-5811",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "MN",
            "license": "2569527",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "149723500",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Edgerton Family Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Edgerton, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.

Verify at the official NPI Registry.