NPI 1215964499 · live from the CMS NPI Registry
Jesse J Corry, MD
Psychiatry & Neurology, Neurology in Bloomington, MN. National Provider Identifier 1215964499, active.
NPI record
| NPI | 1215964499 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Psychiatry & Neurology, Neurology 2084N0400X |
| Practice location | 3601 Minnesota Dr Ste 200, Bloomington, MN 55435 |
| Practice phone | 612-879-1000 |
| Enumerated | June 26, 2006 |
| Last updated | August 27, 2026 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatry & Neurology, Neurology | 2084N0400X | 2025-01025 (NC) |
| Psychiatry & Neurology, Neurology | 2084N0400X | 01094509A (IN) |
| Psychiatry & Neurology, Neurology primary | 2084N0400X | 58320 (MN) |
| Psychiatry & Neurology, Neurology | 2084N0400X | 47463-20 (WI) |
| Psychiatry & Neurology, Neurology | 2084N0400X | MD61579794 (WA) |
| Psychiatry & Neurology, Neurology | 2084N0400X | C198868 (CA) |
| Psychiatry & Neurology, Neurology | 2084N0400X | 102556 (GA) |
| Psychiatry & Neurology, Neurology | 2084N0400X | 2024047451 (MO) |
| Psychiatry & Neurology, Neurology | 2084N0400X | 0101282914 (VA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.