IndividualActive
Jayson Pereira, M.D.
NPI 1104036912 · Sports Medicine (Emergency Medicine) Physician · Woodbury, MN
Provider details
- NPI number
- 1104036912
- Entity type
- Individual
- Primary specialty
- Sports Medicine (Emergency Medicine) PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- Yes
- License
- 52029 (MN)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
155 Radio Dr
Woodbury, MN 55125-2619
Phone: (952) 831-8742
Approximate (ZIP-level) locationGet directions
Mailing address
8170 33rd Ave S # Ms 21110q
Bloomington, MN 55425-4516
Additional practice locations (1)
- 4300 Marketpointe Dr Ste 100Bloomington, MN 55435Phone: (952) 835-9880Fax: (952) 857-1554
Registry dates
- Enumerated
- 2007-05-23
- Last updated
- 2023-06-13
- Certified
- 2023-06-13
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.