Organization
Central Minnesota Dermatology, PA
Provider's NPPES record last updated: January 19, 2026
Overview
- Entity Type
- Organization
- NPI
- 1285220079
- Primary Specialty
- Clinic/Center
- Practice Location
- Brainerd, Minnesota
- Organization Subpart
- No
Federal Screening
NPISignal checked this NPI against federal exclusion sources. Results below are based on the NPI number itself — an identifier match, not a name match.
List of Excluded Individuals/Entities (LEIE)
HHS Office of Inspector General
No potential match was identified in NPISignal's indexed List of Excluded Individuals/Entities (LEIE) records as of 2026-09-10.
- Source data
- September 10, 2026
- Records indexed
- 84,001
- Screened
- Sep 21, 2026, 2:43 PM UTC
This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.
SAM.gov Exclusions
U.S. General Services Administration
SAM.gov Exclusions was not checked.
SAM.gov screening is not configured on this deployment. No SAM check has been performed.
- Screened
- Not checked
This is an NPI-based check only. NPISignal does not publish name-based exclusion matches on a provider profile. A shared or similar name is a lead that requires human review, not an identification, and this page is not the place to make one. Run a name-based screening below to see potential matches with the reasons for each.
This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.
Searches OIG LEIE and SAM.gov by name and reviews every potential match.
Specialties & Taxonomies
- Primary
Clinic/Center
Ambulatory Health Care Facilities
A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
Taxonomy code 261Q00000X
Practice Locations
Practice Location
1903 S 6th St Ste 3
Brainerd, Minnesota 56401-4599
Phone: (218) 454-3376
Additional Practice Location
415 Barclay Ave
Pine River, Minnesota 56474-1603
Phone: (218) 454-3376
Fax: (218) 454-4263
Additional Practice Location
808 3rd St Se
Little Falls, Minnesota 56345-3557
Phone: (218) 454-3376
Fax: (218) 454-4263
Additional Practice Location
415 Jefferson St N
Wadena, Minnesota 56482-1264
Phone: (218) 454-3376
Fax: (218) 454-4263
Record Information
- Enumeration Date
- December 15, 2020
- Provider's NPPES Record Last Updated
- January 19, 2026
- Certification Date
- January 19, 2026
- NPISignal NPPES Dataset
- August 2026
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