NPI 1013544949 · live from the CMS NPI Registry
Ada Breitenbucher
Psychiatry & Neurology, Neurology in Minneapolis, MN. National Provider Identifier 1013544949, active.
NPI record
| NPI | 1013544949 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Psychiatry & Neurology, Neurology 2084N0400X |
| Practice location | 2450 Riverside Ave, Minneapolis, MN 55454 |
| Practice phone | 612-273-3000 |
| Enumerated | March 23, 2020 |
| Last updated | May 1, 2025 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | — |
| Psychiatry & Neurology, Neurology primary | 2084N0400X | 76659 (MN) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.