JEFFREY R. BRACE M.D. – NPI #1619905924
Radiology

A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

Health Care Provider Taxonomy Code for Radiology

JEFFREY BRACE is a radiologist located in ROSEVILLE, MN. NPPES has assigned the NPI number 1619905924 to JEFFREY BRACE on June 28, 2006. It is a Type-1 NPI, indicating this NPI number is associated with an individual. According to the NPI Registry, there are 3 additional location(s) assigned to this provider which are listed below. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 2085R0202X from the Health Care Provider Taxonomy code set, which is classified as Radiology, specializing in Diagnostic Radiology

The NPI profile was previously updated about 5 years ago on Jul 07, 2021. 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 JEFFREY BRACE below.

NPI Profile for
JEFFREY R. BRACE

NPI Number
1619905924
Enumeration Date

(about 20 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
JEFFREY R. BRACE
Credentials
M.D.
Primary location
2355 HIGHWAY 36 W STE 100
ROSEVILLE, MN 55113-3905
Phone: (651) 292-2000 Fax:
3 Other location(s):
4801 West 81st Street
Suite 108
Bloomington, MN 55437-1111
Phone: (952) 837-9700
Fax: (952) 837-9701
9055 Springbrook Dr NW
Coon Rapids, MN 55433-5841
Phone: (763) 780-9155
250 Thompson St
Saint Paul, MN 55102-2370
Phone: (651) 292-2000
Fax: (651) 292-2136
Mailing address
Same as primary location
Sole Proprietor
No
Updated
Certification Date
Jul 07, 2021

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.

Identifiers

Identifiers for JEFFREY BRACE

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

See identifiers
DescriptionIssuerStateIdentifier
OTHERARAZMN1811611
OTHERBCBSMN588T5BR
OTHERCHAMPUS/TRIWESTMNB592
OTHERHEALTHPARTNERSMNHP44290
OTHERMEDICA CHOICEMN16-03496
OTHERMEDICA PRIMARYMN16-02032
OTHERPREFERRED ONEMN1034029
OTHERRAILROAD MEDICAREMNP00253879
OTHERUCAREMN17131
MEDICAIDIA0589325
MEDICAIDMN330412400
MEDICAIDMT0091681
MEDICAIDWI34612300
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
2085R0202X
- Radiology / Diagnostic Radiology (Primary)		 MN 44515
2085N0700X
- Radiology / Neuroradiology		 MN 44515

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.

Additional Information

Education
UNIVERSITY OF SOUTH FLORIDA COLLEGE OF MEDICINE - Graduated 1999
Accepts Medicare
This provider accepts Medicare-approved amount as payment in full. The Medicare-approved amount is the total the provider can be paid. When a provider accepts the Medicare-approved amount as payment, you won't be billed for more than the Medicare deductible & coinsureance.
Medicare Ordering & Referring
Provider can:
  • Refer to Part B
  • Order Durable Medical Equipment
  • Refer to Home Health Agency
  • Order Power Mobility Devices
Affiliations
JEFFREY BRACE is affiliated with the following medical group(s):
  • HOSPITAL
    • ALLINA UNITED HOSPITAL
      333 NORTH SMITH AVENUE
      SAINT PAUL, MN 55102
    • FAIRVIEW LAKES HEALTH SERVICES
      5200 FAIRVIEW BOULEVARD
      WYOMING, MN 55092
    • FAIRVIEW NORTHLAND REGIONAL HOSPITAL
      911 NORTHLAND DR
      PRINCETON, MN 55371
    • M HEALTH FAIRVIEW RIDGES HOSPITAL
      201 EAST NICOLLET BOULEVARD
      BURNSVILLE, MN 55337
    • M HEALTH FAIRVIEW SOUTHDALE HOSPITAL
      6401 FRANCE AVENUE SOUTH
      EDINA, MN 55435

Why is my NPI data (personal information) being displayed publicly?
If you have an active NPI profile, your profile is required to be disclosed according to the FOIA and eFOIA. HIPAA also requires covered providers to share their NPI with other providers, health plans, clearinghouses and any entity that may need it for billing purposes.

How do I correct or change the NPI data displayed here?
At any time, providers can make changes to their NPI profile at NPPES. Login to NPPES to make changes online or call (800) 465-3203 for assistance. Changes made at NPPES will be reflected on this web site within a few days.

Can I hide my NPI profile from the public?
Unfortunately, No. The NPPES discloses health care provider data under the Freedom of Information Act to the public, which means anyone may request such information directly from the National Plan & Provider Enumeration System. See the complete CMS Data Dissemination Notice here.