Individual provider Active NPI

Doug P Briggman, NP-C

  • Primary Care Nurse Practitioner
  • Litchfield, MN
National Provider Identifier
1962067793
Registry record updated Feb 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
6610 Issued in MN
Practice address
612 S Sibley Ave
Litchfield, MN 55355-3340
Phone
(320) 693-4500
NPI assigned
May 7, 2019
Last updated
Feb 1, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Registered Nurse 163WE0003X 1823749 MN
Primary Care Nurse Practitioner 363LP2300X 6610 MN Primary

Addresses

Primary practice location

612 S Sibley Ave
Litchfield, MN 55355-3340

Mailing address

718 Shady Ridge Rd NW
Hutchinson, MN 55350-1414
Phone (218) 831-1040

Other practice location 1

718 Shady Ridge Rd NW
Hutchinson, MN 55350-1414
Phone (218) 831-1040

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190712000033 MN Practitioner - Nurse Practitioner 7719212752 Reassigns benefits to 6 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
1823749MNMDEmergency Registered Nurse
6610MNMDPrimary Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
County of Meeker CurrentSince Jul 1, 2019 Accepting new patients
River's Edge Hospital & Clinic CurrentSince Jan 6, 2026 Accepting new patients
St. Francis Regional Medical Center CurrentSince Oct 1, 2020 Accepting new patients
Glencoe Regional Health Services CurrentSince Nov 5, 2020 Accepting new patients
Glencoe Regional Health Services CurrentSince Nov 5, 2020 Accepting new patients
County of Meeker Current Accepting new patients
County of Meeker CurrentSince Jul 1, 2019 Accepting new patients
County of Meeker Past Accepting new patients

Locations

1805 Hennepin Ave N
Glencoe, MN 55336
Phone (320) 864-3121

265 Creek Ln S
Jordan, MN 55352
Phone (952) 428-1200

612 S Sibley Ave
Litchfield, MN 55355
Phone (320) 693-3242

1900 Sunrise Dr
Saint Peter, MN 56082
Phone (507) 931-2200

6150 Egan Dr
Savage, MN 55378
Phone (952) 228-2552

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1557187200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612137600000",
    "number": "1962067793",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "718 SHADY RIDGE RD NW",
            "city": "HUTCHINSON",
            "state": "MN",
            "postal_code": "553501414",
            "telephone_number": "218-831-1040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "612 S SIBLEY AVE",
            "city": "LITCHFIELD",
            "state": "MN",
            "postal_code": "553553340",
            "telephone_number": "320-693-4500"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "718 Shady Ridge Rd NW",
            "address_purpose": "LOCATION",
            "city": "Hutchinson",
            "state": "MN",
            "postal_code": "553501414",
            "country_code": "US",
            "telephone_number": "218-831-1040",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRIGGMAN",
        "first_name": "DOUG",
        "middle_name": "P",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-05-07",
        "last_updated": "2021-02-01",
        "certification_date": "2021-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WE0003X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Emergency",
            "state": "MN",
            "license": "1823749",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "MN",
            "license": "6610",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Litchfield, MN

Sources for this page

Verify at the official NPI Registry.