NPI 1841829652 · live from the CMS NPI Registry
Kyle Brougham, M.D.
Orthopaedic Surgery in Bloomington, MN. National Provider Identifier 1841829652, active.
NPI record
| NPI | 1841829652 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Orthopaedic Surgery 207X00000X |
| Practice location | 8100 Northland Dr, Bloomington, MN 55431 |
| Practice phone | 952-831-8742 |
| Mailing address | 8170 33rd Ave S # Ms 21110q, Bloomington, MN 55425 |
| Enumerated | April 3, 2020 |
| Last updated | June 27, 2025 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | — |
| Orthopaedic Surgery primary | 207X00000X | 78855 (MN) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.