One Bread One Body MD LLC
NPI 1083404966 · Dermatology Physician · Faribault, MN
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
One Bread One Body MD LLC is a Dermatology Physician organization in Faribault, MN (NPI 1083404966).
Provider details
- NPI number
- 1083404966
- Entity type
- Organization
- Primary specialty
- Dermatology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Wendy Bongers, Practice Owner(507) 301-7602
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Family Medicine Physician207Q00000X
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2025-05-12
- Last updated
- 2025-05-12
- Certified
- 2025-05-12
Frequently asked questions
- What is One Bread One Body MD LLC's NPI number?
- One Bread One Body MD LLC's National Provider Identifier (NPI) is 1083404966, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is One Bread One Body MD LLC?
- One Bread One Body MD LLC is classified in the NPPES registry as Dermatology Physician (Allopathic & Osteopathic Physicians).
- Where is One Bread One Body MD LLC located?
- One Bread One Body MD LLC's practice location on file with NPPES is 513 Central Ave N Ste 1, Faribault, MN 55021-4322.
- What is One Bread One Body MD LLC's phone number?
- The practice phone number listed in the NPPES registry for One Bread One Body MD LLC is (507) 301-7602.
- Does One Bread One Body MD LLC accept Medicare?
- One Bread One Body MD LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for One Bread One Body MD LLC?
- The authorized official listed on One Bread One Body MD LLC's NPPES record is Wendy Bongers, Practice Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is One Bread One Body MD LLC's NPI active?
- Yes — One Bread One Body MD LLC's NPI (1083404966) is active in the NPPES registry as of the last update on 2025-05-12.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.