NPI 1093576407 · live from the CMS NPI Registry
Kyle James Brownfield, PA-C
Physician Assistant in Grand Forks, ND. National Provider Identifier 1093576407, active.
NPI record
| NPI | 1093576407 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Physician Assistant 363A00000X |
| Practice location | 3674 S Washington St, Grand Forks, ND 58201 |
| Practice phone | 701-205-3000 |
| Mailing address | Po Box 5210, Grand Forks, ND 58206 |
| Enumerated | January 22, 2024 |
| Last updated | January 22, 2026 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physician Assistant primary | 363A00000X | 085.010319 (IL) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.