IndividualActive
Brady Baartman, PA-C
NPI 1780979104 · Surgical Physician Assistant · St Louis Park, MN
Provider details
- NPI number
- 1780979104
- Entity type
- Individual
- Primary specialty
- Surgical Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA-C
- Sex
- Male
- Sole proprietor
- No
- License
- 1563 (MN)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
6500 Excelsior Blvd
St Louis Park, MN 55426-4702
Phone: (952) 993-1000
Fax: (952) 993-1000
Approximate (ZIP-level) locationGet directions
Mailing address
8170 33rd Ave S # Ms 21110q
Bloomington, MN 55425-4516
Additional practice locations (2)
- 8100 Northland DrBloomington, MN 55431-4800Phone: (952) 831-1826
- 8290 University Ave NeSuite 200Fridley, MN 55432-1847Phone: (763) 786-9543Fax: (763) 786-3320
Registry dates
- Enumerated
- 2011-06-14
- Last updated
- 2021-03-12
- Certified
- 2021-03-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.