MR. BRYAN MOHR (DPM) – Podiatrist, NPI 1043215528

MR. BRYAN MOHR (DPM) is a healthcare provider. based in Richfield, Minnesota. specializing in PODIATRY. They hold the professional credentials DPM. They hold a License No. 1164-25 (WI). The NPI Number for MR. BRYAN MOHR (DPM) is 1043215528

Main info

Male
28 Years Of Experience
Accepts Medicare Assignment
Name
MR. BRYAN MOHR (DPM)
NPI
1043215528
Phone
(612) 788-8778
Address
6625 LYNDALE AVE S STE 300
Enumeration Date
20 June 2005
Last Update Date
29 April 2020

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6122438999
Graduation Year
1998 (28 years ago)
PAC ID
8527070937
Group Practice PAC ID
7113170267
Professional Enrollment ID
I20200805001289
Address ID
WI540272452WI674XXSTXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience73
Completeness75
Years active:20State licenses:2Digital endpointsOther names

232 PODIATRY in MN

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Provider Addresses for MR. BRYAN MOHR (DPM)

  • Lyndale Avenue South, Richfield, Hennepin County, Minnesota, 55423, United States

    RICHFIELD, MN 554232491

    Phone: (612) 788-8778

    Fax: (612) 869-3473

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2020-08-05

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20080602000712IPodiatryMNTBD
I20200805001289IPodiatryWITBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
K1034Provision of covid-19 test, nonprescription self-administered and self-collected use, fda approved, authorized or cleared, one test count1,08686$0
11721Removal of fingernails or toenails, 6 or more nails4444$0
11055Removal of noncancer thickened skin growth, 1 growth1414$0
View full utilization report →

Insurance plans in this area (ZIP 55423)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 7113170267View full group profile
NameSpecialtyState
P O D I A T R YMN
P O D I A T R YMN
P O D I A T R YIL
P O D I A T R YMN
Qualified AudiologistAZ
P O D I A T R YMN
O P T O M E T R YMN
-MN
P O D I A T R YMN
P O D I A T R YMN

Reviews

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Frequently asked questions

Is MR. BRYAN MOHR (DPM) listed with a National Provider Identifier?
Yes — MR. BRYAN MOHR (DPM) has NPI 1043215528 on file in the registry.
Is there an active status for MR. BRYAN MOHR (DPM)?
For scheduling context, MR. BRYAN MOHR (DPM) is shown as active in the registry.
What area of care is associated with MR. BRYAN MOHR (DPM)?
MR. BRYAN MOHR (DPM)'s record emphasizes Podiatrist. Clinical services aligned with this taxonomy classification.
Is MR. BRYAN MOHR (DPM) located near Richfield?
MR. BRYAN MOHR (DPM) currently maps to Richfield, Minnesota in this extract.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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