OrganizationActive
Southdale Internal Medicine PA
NPI 1346207149 · Internal Medicine Physician · Edina, MN
Provider details
- NPI number
- 1346207149
- Entity type
- Organization
- Primary specialty
- Internal Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Gary Brunkow, Physician Senior Partner(952) 927-7079
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 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
6545 France Avenue South
Suite 510
Edina, MN 55435
Phone: (952) 927-7079
Fax: (952) 920-9758
Street-level locationGet directions
Mailing address
6545 France Avenue South
Edina, MN 55435
Registry dates
- Enumerated
- 2006-04-27
- Last updated
- 2015-12-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.