National Provider Identifier Database

MATTHEW PUDERBAUGH, DO – NPI #1982959771
Brain Injury Medicine

A Brain Injury Medicine physician specializes in disorders of brain function due to injury and disease. These disorders encompass a range of medical, physical, neurologic, cognitive, sensory, and behavioral disorders that result in psychosocial, educational, and vocational consequences.


Contact Information

MATTHEW PUDERBAUGH, DO
715 S 8TH ST
MINNEAPOLIS, MN55404-1210
Phone: 612-873-3000
Fax:
Website:
Specialty Taxonomy Code
* Brain Injury Medicine 2081P0301X
General Practice 208D00000X
Student in an Organized Health Care Education/Training Program 390200000X

* Indicates primary specialty

NPI Profile & details for MATTHEW PUDERBAUGH

NPI Number 1982959771
Credentials DO (Doctor of Osteopathic)
Entity Individual
Enumeration date 07/17/2012
Last updated 06/10/2022 - About 4 years ago
Sole proprietor1 Yes
Identifiers
  • MI License #: 5101019889
  • MN License #: 70248
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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