PHYSICIAN MANAGEMENT SERVICES OF MINNESOTA, LLC – NPI #1699413187
Family Medicine

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Health Care Provider Taxonomy Code for Family Medicine

PHYSICIAN MANAGEMENT SERVICES OF MINNESOTA, LLC is a provider located in SAINT CLOUD, MN. NPPES has assigned the NPI number 1699413187 to PHYSICIAN MANAGEMENT SERVICES OF MINNESOTA, LLC on May 24, 2022. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 207Q00000X from the Health Care Provider Taxonomy code set, which is classified as Family Medicine.

The NPI profile was last updated on May 21, 2026. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for PHYSICIAN MANAGEMENT SERVICES OF MINNESOTA, LLC below.

NPI Profile for
PHYSICIAN MANAGEMENT SERVICES OF MINNESOTA, LLC

NPI Number
1699413187
Enumeration Date

(more than 4 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
PHYSICIAN MANAGEMENT SERVICES OF MINNESOTA, LLC
Primary location
3290 42ND AVE S
SAINT CLOUD, MN 56301-6251
Phone: (888) 829-8550 Fax:
Mailing address
800 N MAGNOLIA AVE STE 700
ORLANDO, FL 32803-3264
Phone: Fax:
Organization Subpart
Yes - PHYSICIAN MANAGEMENT SERVICES OF MINNESOTA, LLC is subpart of another organization.
Authorized Official
BRETT KENEFICK
PRESIDENT
Phone: (888) 829-8550
Updated
Certification Date
May 21, 2026

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207Q00000X
- Family Medicine (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.