Jeffrey Rex Brace in Roseville - Diagnostic Radiology
Jeffrey Rex Brace - NPI 1619905924
Jeffrey Rex Brace is a Diagnostic Radiology in Roseville, Minnesota. Jeffrey Rex Brace practices all healthcare services and medical treatments related to Diagnostic Radiology. The NPI Number for Jeffrey Rex Brace is 1619905924. The last update date is 2021-07-07.
Jeffrey Rex Brace's current location address is 2355 Highway 36 W Ste 100, Roseville, Minnesota. You can contact this provider via phone number 6512922000. The mailing address for Jeffrey Rex Brace is 2355 Highway 36 W Ste 100, Roseville, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jeffrey Rex Brace |
|---|---|
| Address | 2355 Highway 36 W Ste 100, Roseville, Minnesota |
| Phone Number | 6512922000 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1619905924 |
|---|---|
| Provider Enumeration Date | 2006-06-28 |
| Last Updated Date | 2021-07-07 |
Provider Mailing Address Detail
| Address | 2355 Highway 36 W Ste 100 |
|---|---|
| City | Roseville |
| State | Minnesota (MN) |
| Post Code | 551133905 |
| Phone Number | 6512922000 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Diagnostic Radiology |
|---|---|
| Taxonomy | 2085R0202X |
| Licence No | 44515 |
|
Definition: A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1034029 | MN | PREFERRED ONE | |
| 588T5BR | MN | BCBS | |
| 91681 | MT | -- | |
| 16-02032 | MN | MEDICA PRIMARY | |
| 1811611 | MN | ARAZ | |
| 330412400 | MN | -- | |
| P00253879 | MN | RAILROAD MEDICARE | |
| 589325 | IA | -- | |
| 16-03496 | MN | MEDICA CHOICE | |
| B592 | MN | CHAMPUS/TRIWEST |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Jeffrey Rex Brace by the Centers for Medicare & Medicaid Services?
The Jeffrey Rex Brace has been assigned the NPI (National Provider Identifier) 1619905924 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you provide the complete physical address where Jeffrey Rex Brace is located?
The Jeffrey Rex Brace is situated at the following address: 2355 Highway 36 W Ste 100, Roseville, MN, 551133905.
What is Jeffrey Rex Brace's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Jeffrey Rex Brace is Diagnostic Radiology, and the corresponding taxonomy classification code for this specialized field is 2085R0202X.
On what date did the Jeffrey Rex Brace receive the assignment of its 1619905924 from the Centers for Medicare & Medicaid Services?
The Jeffrey Rex Brace was issued its 1619905924 by the Centers for Medicare & Medicaid Services on 2006-06-28.
When was the Jeffrey Rex Brace's information last updated?
The Jeffrey Rex Brace's information was last updated on 2021-07-07.
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