Brian Grudem, O.D

ActiveIndividual ProviderOptometry
NPI issued: August 16, 2005

Quick Facts

NPI Number
1194717298
TypeIndividual
StatusActive
SpecialtyOptometry
Taxonomy152W00000X — Optometry
Phone
(651) 426-2747
StateMN

NPI Validation Status: Verified

Valid 10-digit NPI number (1194717298)
Active status confirmed
Verified by CMS NPPES Registry
HIPAA compliant identifier
Enumeration date on file (August 16, 2005)
Data source: CMS NPPES

Provider Overview

BRIAN GRUDEM, O.D is a Optometry provider based in White Bear Lake, MN who has been registered with CMS since 2005. This NPI is currently Active under CMS NPPES registry.

Provider Details

NPI Number1194717298
Provider TypeIndividual Provider
GenderMale
CredentialO.D
StatusActive
Enumeration DateAugust 16, 2005

Practice Location

CityWhite Bear Lake
StateMN
ZIP Code55110-3336
Phone(651) 426-2747

Specialties & Licenses

★ Primary
SpecialtyOptometry
Taxonomy Code152W00000X
License StateMN

Mailing Address

CityWhite Bear Lake
StateMN
ZIP Code55110-3336
Phone(651) 426-2747
Same as practice location

How to Use This NPI

📋

For Insurance Billing

Use NPI 1194717298 in Box 33 of the CMS-1500 claim form. This number is required by all major insurance carriers to identify the billing provider and process electronic medical claims.

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For Credentialing

Reference NPI 1194717298for provider credential verification. Hospital systems, state licensing boards, and CAQH directories query this number to verify the provider's active clinical status.

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For Patients

Share NPI 1194717298 with your insurance company. If you need to verify out-of-network benefits or file a reimbursement claim, your insurance provider will require this number to process it.

About Optometry

Specialists in Optometry provide expert clinical care within their specific domain, focusing on the diagnosis, treatment, and management of conditions relevant to their field of practice.

📊
95,009
Optometry Providers in the US

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People Also Ask

What is Brian Grudem's NPI number?
Brian Grudem's NPI number is 1194717298, a unique 10-digit identifier issued by the Centers for Medicare & Medicaid Services (CMS).
Is Brian Grudem's NPI currently active?
Yes, Brian Grudem's NPI status is Active as of the latest CMS NPPES database updates.
What does Brian Grudem specialize in?
Brian Grudem specializes in Optometry. The healthcare taxonomy code associated with this specialty is 152W00000X.
Where does Brian Grudem practice?
Brian Grudem practices in White Bear Lake, MN 55110-3336.
When was Brian Grudem's NPI issued?
Brian Grudem's NPI was issued on August 16, 2005.
What is Brian Grudem's provider type?
Brian Grudem is registered as an Individual Provider under CMS NPI Type 1.