Bryan Holderman Fate, MD, MPH

Pediatrics Physician · Minneapolis, MN

Individual Active NPI

NPI number 1518320167

Practice location

2525 Chicago Ave
Minneapolis, MN 55404-4518
Phone
(612) 813-6000

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NPI record

NPI
1518320167
Entity type
Individual (Type 1)
Enumeration date
March 31, 2016
Last updated
July 22, 2019
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Pediatrics Physician Primary 208000000X MDRE.ML.60657196 WA

About Dr. Fate

Bryan Holderman Fate, MD, MPH is a healthcare provider registered in the NPI registry with the primary taxonomy Pediatrics Physician (code 208000000X). The practice location is 2525 Chicago Ave, Minneapolis, MN 55404-4518. The NPI number 1518320167 was assigned on March 31, 2016 and the record was last updated on July 22, 2019.

Dr. Fate lists a license in the registry: #MDRE.ML.60657196 (WA) for Pediatrics Physician. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Bryan Holderman Fate, MD, MPH?

The NPI number is 1518320167.

What is the phone number of Dr. Fate?

The phone number listed for the practice location is (612) 813-6000.

Where is Dr. Fate located?

2525 Chicago Ave, Minneapolis, MN 55404-4518.

What is the taxonomy code for Dr. Fate?

The primary taxonomy code is 208000000X – Pediatrics Physician.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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