Individual provider Active NPI

Bradley Roger Heltemes, M.D.

  • Internal Medicine Physician
  • Minneapolis, MN
National Provider Identifier
1902974918
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
030112-3 Issued in MN
Practice address
1151 Ameriprise Financial Ctr
S7
Minneapolis, MN 55474-0011
Phone
(612) 671-3642
NPI assigned
Nov 30, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 030112-3 MN Primary

Addresses

Primary practice location

1151 Ameriprise Financial Ctr
S7
Minneapolis, MN 55474-0011

Mailing address

5145 Morgan Ave S
Minneapolis, MN 55419-1025
Phone (612) 922-3473

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)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
030112-3MNMDInternal Medicine Physician

NPI Registry JSON

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

{
    "created_epoch": "1164844800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1902974918",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5145 MORGAN AVE S",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554191025",
            "telephone_number": "612-922-3473"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1151 AMERIPRISE FINANCIAL CTR",
            "address_2": "S7",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554740011",
            "telephone_number": "612-671-3642"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HELTEMES",
        "first_name": "BRADLEY",
        "middle_name": "ROGER",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-30",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MN",
            "license": "030112-3",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Minneapolis, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.