Brian D Carlsen

MD | Pediatrics | Male

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Complete Profile:

Brian D Carlsen basic information including his official name, gender, specialization, credentials etc. are as mentioned below.

Specialization :	Pediatrics
Provider Name :	Brian D Carlsen
Credential :	MD
Gender :	Male

Business Address:

Brian D Carlsen address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.

Primary Address :	610 30th Avenue West, Alexandria Clinic Alexandria, MN, 56308 United States
Phone Number :	320-763-5123
Fax Number :	320-763-7883

Professional Identification Codes:

NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.

NPI Number :	1063492932
NPI Entity Type :	Individual
First Enrolment Date :	18 Jan, 2006
Last Updated On :	28 Jul, 2021

Medicare Participation:

Brian D Carlsen participates in medicare and accepts medicare insurance either directly or through association with group practice or medical facility.

Medicare PECOS ID :	5193638989
Medicare Enrollment ID :	I20100105000259
Primary Specialty :	Pediatric Medicine
Medical School :	University Of Minnesota Medical School
Graduation Year :	1990
Accepts Medicare?	Yes. Brian D Carlsen accepts medicare insurance.

Group Practice Association:

Brian D Carlsen is associated with following Group Practice Organizations. Group practices are practice of medicine by a group of physicians who share their premises and other resources. Following list states all the group name with which Brian D Carlsen is associated with along with the number of members in that group. He may also accept medicare indirectly via these group practices.

Organisation Name :	Group Practice ID	No. of Members	Practice Address	Group Accepts Medicare
Douglas County Hospital	0648171413	104	610 30th Ave W Alexandria, MN - 563083426 Ph: 3207635123	Yes

Licenses and Specialities:

Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Brian D Carlsen are as mentioned. Primary taxonomy code for Brian D Carlsen, MD is 208000000X (Pediatrics).

Taxonomy Code	Speciality	Primary	License No.	State
208000000X	Pediatrics	Yes	36495	MN

Legacy Identifiers:

Other legacy medical identifiers of Brian D Carlsen such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.

Identifier	Identifier Type	State	Issuer
343765500	MEDICAID	MN
030050446	Other	MN	RR MEDICARE

Endpoints:

Endpoints provide a simple, secure, scalable, and standards-based way for participants to send authenticated, encrypted health information directly to known, trusted recipients over the Internet. It is used by EHR systems (Electronic Health Records).

Mailing Address:

Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.

Mailing Address :	610 30th Avenue West, Alexandria Clinic Alexandria, MN, 56308 United States
Phone Number :	320-763-5123
Fax Number :	320-763-7883

Business Location:

Patients can refer following map for directions to Brian D Carlsen practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.