Brian J Greteman, DPM, PA

Primary specialty

PodiatristTaxonomy code 213E00000X

License

435 Issued in MN

Legal business name

BRIAN J GRETEMAN, DPM, PA

Practice address

3883 Coon Rapids Blvd NW
Coon Rapids, MN 55433-2518

Phone

(763) 422-0233

Fax

(763) 422-9640

NPI assigned

Mar 22, 2010

Last updated

Sep 29, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Brian Joseph Greteman, DPMNPI 1114919024

Title

President

Phone

(763) 422-0233

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Brian J Greteman, DPM, PA

  • Podiatrist
  • Coon Rapids, MN
  • NPI 1114919024
  Authorized official Same address or phone

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

{
    "created_epoch": "1269216000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1285718400000",
    "number": "1932423878",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3883 COON RAPIDS BLVD NW",
            "city": "COON RAPIDS",
            "state": "MN",
            "postal_code": "554332518",
            "telephone_number": "763-422-0233",
            "fax_number": "763-422-9640"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3883 COON RAPIDS BLVD NW",
            "city": "COON RAPIDS",
            "state": "MN",
            "postal_code": "554332518",
            "telephone_number": "763-422-0233",
            "fax_number": "763-422-9640"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIAN J GRETEMAN, DPM, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-22",
        "last_updated": "2010-09-29",
        "status": "A",
        "authorized_official_last_name": "GRETEMAN",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "763-422-0233",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": "MN",
            "license": "435",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "873725800",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ryan J Brandt, D.C.
• Timothy Steven Bredow, RN, PHD,, CNP
• Kelly Lynn Breemeersch, RPH
• Robert Sylvester Breitbach, DDS
• Jordan A Brewster, M.D.
• Breanna Grace Brierley
• Julie Brisco, LP
• Benjamin Welch Britton, PT
• Angela Brod
• Barry O Brodsky, CRNA

• Podiatrist in Coon Rapids, MN
• Providers in Coon Rapids, MN by specialty
• Podiatrist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 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.