MEDICARE: BRADY ALEXANDER BRABEC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207RN0300X	Nephrology Physician	56820	MN
2	207RN0300X	Nephrology Physician	106799	MN

General Provider Information

NPI Number	:	1124343785
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BRADY ALEXANDER BRABEC

Provider Business Mailing Address
First Line	:	6200 SHINGLE CREEK PKWY STE 250
Second Line	:
City	:	BROOKLYN CENTER
State	:	MN
Zip	:	55430-2107
Country	:	US
Telephone Number	:	763-561-0696
Fax Number	:

Provider Business Practice Location Address
First Line	:	6200 SHINGLE CREEK PKWY STE 250
Second Line	:
City	:	BROOKLYN CENTER
State	:	MN
Zip	:	55430-2107
Country	:	US
Telephone Number	:	763-544-0696
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/06/2010
Last Update Date	:	01/28/2026

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Directions to “ BRADY ALEXANDER BRABEC ” Practice Location

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