Bryan Cannon

MD | Pediatric Cardiology | Male

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Complete Profile:

Bryan Cannon basic information including his official name, gender, specialization, credentials etc. are as mentioned below.

Specialization :	Pediatrics Pediatric Cardiology
Provider Name :	Bryan Cannon
Credential :	MD
Gender :	Male

Business Address:

Bryan Cannon 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 :	200 1st St Sw Rochester, MN, 55905-0001 United States
Phone Number :	507-284-3297
Fax Number :	507-284-3968

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 :	1942380373
NPI Entity Type :	Individual
First Enrolment Date :	17 Oct, 2006
Last Updated On :	12 Aug, 2020

Medicare Participation:

Bryan Cannon participates in medicare and accepts medicare insurance either directly or through association with group practice or medical facility.

Medicare PECOS ID :	2163592619
Medicare Enrollment ID :	I20101013001232
Primary Specialty :	Pediatric Medicine
Medical School :	University Of Texas Southwestern Medical School At Dallas
Graduation Year :	1995
Accepts Medicare?	Yes. Bryan Cannon accepts medicare insurance.

Group Practice Association:

Bryan Cannon 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 Bryan Cannon 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
Mayo Clinic	6507778255	4109	200 1st St Sw Rochester, MN - 559050001 Ph: 5072842511	Yes
Sanford Bismarck	9739098575	419	765 W Interstate Ave Bismarck, ND - 585030936 Ph: 7013233700	Yes
Sanford Bismarck	9739098575	419	3318 N 14th St Bismarck, ND - 585031614 Ph: 7013238300	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 Bryan Cannon are as mentioned. Primary taxonomy code for Bryan Cannon, MD is 2080P0202X (Pediatrics Pediatric Cardiology).

Taxonomy Code	Speciality	Primary	License No.	State
207RC0001X	Internal Medicine Clinical Cardiac Electrophysiology	No	53291	MN
2080P0202X	Pediatrics Pediatric Cardiology	No	K1982	TX
2080P0202X	Pediatrics Pediatric Cardiology	No	41451	IA
2080P0202X	Pediatrics Pediatric Cardiology	No	55005	WI
2080P0202X	Pediatrics Pediatric Cardiology	Yes	53291	MN

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 :	200 1st St Sw Rochester, MN, 55905-0001 United States
Phone Number :	507-284-3297
Fax Number :	507-284-3968

Business Location:

Patients can refer following map for directions to Bryan Cannon 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.