DR. M.D. Jeffrey Rex Brace, NPI 1619905924
Diagnostic Radiology Physician in Roseville, MN, US

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NPI number: what is it?

The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...

NPI 1619905924
NPI Entity Type Individual
Provider Name DR. M.D. Jeffrey Rex Brace
Enumeration Date September 30, 2009
Last Update Date September 30, 2009
Certification Date September 30, 2009
Provider Location Address 2355 Highway 36 W Ste 100, Roseville, MN, US
Provider Mailing Address 2355 Highway 36 W Ste 100, Roseville, MN, US, 551133905
Gender Male
Is Sole Proprietor? No
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Primary Taxonomy

Taxonomy Code

2085R0202X

Taxonomy Name Diagnostic Radiology Physician
Classification

Radiology

Group

Allopathic & Osteopathic Physicians

License No. 44515
License State MN
Description A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

Business Address

DR. M.D. Jeffrey Rex Brace
2355 Highway 36 W Ste 100

Roseville, MN, US

Phone: 651-292-2000

Mailing Address

DR. M.D. Jeffrey Rex Brace
2355 Highway 36 W Ste 100
Roseville, MN, US
ZIP 551133905
Phone: 651-292-2000

Secondary Taxonomies

Taxonomy Code Group Classification License No. State Primary?

2085N0700X

Allopathic & Osteopathic Physicians

Radiology

44515 MN No

Other Identifiers

Identifier Identifier State Identifier Issuer Type/Code
1034029 MN PREFERRED ONE 01
588T5BR MN BCBS 01
0091681 MT MEDICAID 05
16-02032 MN MEDICA PRIMARY 01
1811611 MN ARAZ 01
330412400 MN MEDICAID 05
P00253879 MN RAILROAD MEDICARE 01
0589325 IA MEDICAID 05
16-03496 MN MEDICA CHOICE 01
B592 MN CHAMPUS/TRIWEST 01
HP44290 MN HEALTHPARTNERS 01
17131 MN UCARE 01
34612300 WI MEDICAID 05

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