Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
BROADSTONE MEDICAL, P.C.
Active OrganizationBROADSTONE MEDICAL, P.C. is a General Practice organization located in LAKE ELMO, Minnesota. NPI 1366165359 is currently active in the NPPES registry. Verify at CMS.
General Practice · LAKE ELMO, MN
Registration Details
- NPI Number
- 1366165359
- Provider Type
- Organization
- NPI Issued
- Sep 23, 2022 (3.9075535518423 yrs)
- Last Updated
- Jan 26, 2026
Practice Information
- Address
-
8530 EAGLE POINT BLVD STE 100LAKE ELMO, MN, 550428648Browse MN providers · Browse ZIP 55042
- Phone
- 2314325841
- Primary Specialty
-
General Practice
208D00000X
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.