BRANDON MICHAEL NATHAN (M.D.) – Pediatric Endocrinology Physician, NPI 1891738530

BRANDON MICHAEL NATHAN (M.D.) is a healthcare provider. based in Minneapolis, Minnesota. specializing in PEDIATRIC MEDICINE. They hold the professional credentials M.D.. They hold a License No. 48500 (MN). The NPI Number for BRANDON MICHAEL NATHAN (M.D.) is 1891738530

Main info

Male
27 Years Of Experience
Accepts Medicare Assignment
Name
BRANDON MICHAEL NATHAN (M.D.)
NPI
1891738530
Phone
(612) 626-6777
Address
420 DELAWARE SR. SE
Enumeration Date
13 June 2006
Last Update Date
16 April 2012

Doctor Profile

Medical School Name
GEISEL SCHOOL OF MEDICINE AT DARTMOUTH
Secondary Phone
9524018300
Graduation Year
1999 (27 years ago)
PAC ID
0749285856
Group Practice PAC ID
3375645179
Professional Enrollment ID
I20060925000144
Address ID
MN553454145MI17705DRXX301
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience57
Completeness75
Years active:19State licenses:1Digital endpointsOther names

717 PEDIATRIC MEDICINE in MN

Provider Addresses for BRANDON MICHAEL NATHAN (M.D.)

  • 420 DELAWARE SR. SE

    UNIVERSITY OF MINNESOTA PHYSICIANS, MMC 404

    MINNEAPOLIS, MN 55455

    Phone: (612) 626-6777

    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: 2006-09-25

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

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
I20060925000144IPediatric MedicineMNTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 55455)

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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: 3375645179View full group profile
NameSpecialtyState
P A T H O L O G YMN
G A S T R O E N T E R O L O G YMN
N E U R O S U R G E R YOH
-MN
Physician AssistantMN
Physician AssistantMN
-MN
-MN
Physical Therapist In Private PracticeOR
Cardiovascular Disease (Cardiology)IL

Reviews

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Frequently asked questions

How do I look up BRANDON MICHAEL NATHAN (M.D.) by NPI?
Use NPI 1891738530 when you need to reference BRANDON MICHAEL NATHAN (M.D.) in forms, claims, or directories.
Is BRANDON MICHAEL NATHAN (M.D.) currently active in the NPI registry?
CMS-published data lists BRANDON MICHAEL NATHAN (M.D.) as an active registrant.
What does BRANDON MICHAEL NATHAN (M.D.) treat or focus on?
Patients typically see BRANDON MICHAEL NATHAN (M.D.) under the specialty Pediatric Endocrinology Physician. Clinical services aligned with this taxonomy classification.
Where is BRANDON MICHAEL NATHAN (M.D.)'s primary listing?
We display Minneapolis, Minnesota because that is what the record indicates for BRANDON MICHAEL NATHAN (M.D.).
What if Minneapolis, Minnesota seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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