DR. M.D. Jeffrey Rex Brace, NPI 1619905924
Diagnostic Radiology Physician in Roseville, MN, US
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 |
Primary Taxonomy
| Taxonomy Code | |
| Taxonomy Name | Diagnostic Radiology Physician |
| Classification | |
| Group | |
| License No. | 44515 |
| License State | MN |
| Description | A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
Secondary Taxonomies
| Taxonomy Code | Group | Classification | License No. | State | Primary? |
|---|---|---|---|---|---|
| 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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