Active NPI
Brandon D. Tomlin, M.D.
- Neonatal-Perinatal Medicine Physician
- Salt Lake City, UT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neonatal-Perinatal Medicine Physician
- License
- 12256630-1205
- Practice address
- 295 S Chipeta Way
Salt Lake City, UT 84108-1287 - Phone
- (801) 662-4180
- NPI assigned
- Apr 28, 2017
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 70979 | WI | |
| Hospitalist Physician | 208M00000X | 70979 | WI | |
| Neonatal-Perinatal Medicine Physician | 2080N0001X | 12256630-1205 | UT | Primary |
Addresses
Primary practice location
295 S Chipeta Way
Salt Lake City, UT 84108-1287
Mailing address
295 S Chipeta Way
Salt Lake City, UT 84108-1287
Phone (801) 662-4180
Other practice location 1
1675 Highland Ave
Madison, WI 53792-0001
Phone (608) 263-8558
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | btomlin838570@direct.uwhealth.org |
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: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7015 | WI | MD | Oral and Maxillofacial Surgery (Dentist) |
| 12256630-1205 | UT | MD | Neonatal-Perinatal Medicine Physician |
| 70979 | WI | MD | Hospitalist Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Healtheast Medical Research Institute | Current | Accepting new patients | |
| University of Minnesota Health Clinics and Surgery Center Inc | Current | Accepting new patients | |
| Healtheast Medical Research Institute | Current | Accepting new patients | |
| University of Minnesota Physicians | Current | Accepting new patients | |
| University of Minnesota Health Clinics and Surgery Center, Inc. | Current | Accepting new patients | |
| University of Minnesota Physicians | Current | Accepting new patients | |
| University of Minnesota Physicians | Current | Accepting new patients | |
| Fairview Express Care | Current | Accepting new patients | |
| Healtheast Medical Research Institute | Current | Accepting new patients | |
| Fairview Express Care | Current | Accepting new patients | |
| Fairview Express Care | Current | Accepting new patients | |
| Fairview Health Services | Past | Accepting new patients |
Locations
909 Fulton St SE
Minneapolis, MN 55455
Phone (612) 273-8383
516 Delaware St SE
Minneapolis, MN 55455
Phone (612) 625-3600
717 Delaware St SE
Ste 340
Minneapolis, MN 55414
Phone (612) 625-3617
720 Washington Ave SE
Minneapolis, MN 55414
Phone (612) 883-0649
6401 France Ave S
Minneapolis, MN 55435
Phone (952) 920-8477
2450 Riverside Ave
Minneapolis, MN 55454
Phone (612) 273-7838
2025 E River Rd
Minneapolis, MN 55414
Phone (612) 301-0115
1700 University Ave W
Fl 6
Saint Paul, MN 55104
Phone (651) 232-2273
1575 Beam Ave
Saint Paul, MN 55109
Phone (651) 232-7000
1700 University Ave W
Saint Paul, MN 55104
Phone (612) 672-6740
2945 Hazelwood St
Ste 100
Saint Paul, MN 55109
Phone (651) 232-7800
1925 Woodwinds Dr
Woodbury, MN 55125
Phone (651) 232-0100
Interoperability endpoints
- btomlin1865395@fairview.direct-ci.com
Organizations & group practices 15
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Multi-Specialty Clinic/Center
- Minneapolis, MN
- NPI 1053952606
-
- Clinic/Center
- Vadnais Heights, MN
- NPI 1639125503
-
- Clinic/Center
- Minneapolis, MN
- NPI 1053795187
-
- Multi-Specialty Clinic/Center
- Minneapolis, MN
- NPI 1477598118
-
- Emergency Medicine Physician
- Minneapolis, MN
- NPI 1811077175
-
- Clinic/Center
- Minneapolis, MN
- NPI 1588543862
-
- General Acute Care Hospital
- Woodbury, MN
- NPI 1356309322
-
- Clinic/Center
- Minneapolis, MN
- NPI 1023783198
-
- General Practice Physician
- Edina, MN
- NPI 1831707207
-
- Clinic/Center
- Maplewood, MN
- NPI 1164154316
-
- Internal Medicine Physician
- Saint Paul, MN
- NPI 1508191552
-
- Anesthesiology Physician
- Minneapolis, MN
- NPI 1003485004
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1493337600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1622073600000",
"number": "1992230767",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "295 S CHIPETA WAY",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "841081287",
"telephone_number": "801-662-4180"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "295 S CHIPETA WAY",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "841081287",
"telephone_number": "801-662-4180"
}
],
"practiceLocations": [
{
"address_1": "1675 Highland Ave",
"address_purpose": "LOCATION",
"city": "Madison",
"state": "WI",
"postal_code": "537920001",
"country_code": "US",
"telephone_number": "608-263-8558",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "TOMLIN",
"first_name": "BRANDON",
"middle_name": "D.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-04-28",
"last_updated": "2021-05-27",
"certification_date": "2021-05-27",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "WI",
"license": "70979",
"primary": false
},
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "WI",
"license": "70979",
"primary": false
},
{
"code": "2080N0001X",
"taxonomy_group": "",
"desc": "Pediatrics, Neonatal-Perinatal Medicine",
"state": "UT",
"license": "12256630-1205",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "btomlin838570@direct.uwhealth.org",
"affiliation": "N",
"address_1": "1675 Highland Ave",
"city": "Madison",
"state": "WI",
"country_code": "US",
"postal_code": "537920001",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Salt Lake City, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.