Brandon Michael Cottrell, PA-C
Physician Assistant in Saint Cloud, MN. Individual provider (NPI-1).
NPI number1609412790
StatusActive
Last updated in NPPESJun 22, 2021
Details
- NPI
- 1609412790
- Entity type
- Individual (NPI-1)
- Name
- Mr. Brandon Michael Cottrell
- Credential
- PA-C
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Nov 23, 2019
- Certification date
- Jun 22, 2021
- Last updated
- Jun 22, 2021
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - PHYSICIAN ASSISTANT
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice No
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | 1166688 | MN | Yes |
Practice location
4801 Veterans DrSaint Cloud, MN 56303-2015
Phone 320-252-1670
Mailing address
4801 Veterans DrSaint Cloud, MN 56303-2015
Phone 320-252-1670
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All 72 Physician Assistant providers in Saint Cloud · All 4,526 providers in Saint Cloud
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