OrganizationActive
Columbia Park Medical Group, PA
NPI 1215032743 · Multi-Specialty Clinic/Center · Brooklyn Park, MN
Provider details
- NPI number
- 1215032743
- Entity type
- Organization
- Primary specialty
- Multi-Specialty Clinic/CenterAmbulatory Health Care Facilities
- Parent organization
- Columbia Park Medical Group, PA
- Organization subpart
- Yes
- Authorized official
- Joen Condon, Chief Financial Officer(763) 586-5839
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs 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
10000 Zane Ave N
Brooklyn Park, MN 55443-1400
Phone: (763) 572-5710
Fax: (763) 569-6200
Street-level locationGet directions
Mailing address
6401 University Ave Ne
Fridley, MN 55432-4341
Other names (DBA / former)
- Other name
- Cpmg-Brooklyn Park Clinic
Registry dates
- Enumerated
- 2006-09-13
- Last updated
- 2007-11-13
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.