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Contact Information

BRENDA R BULLERMAN, PA-C
201 MAINE AVE
ADRIAN, MN56110-1214
 Phone: 507-483-2668
 Fax: 507-483-2925
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physician Assistant

363A00000X 97 Physician Assistant
 

Surgical

363AS0400X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for BRENDA R BULLERMAN · (Female)

NPI Number 1225032717
Status Active
Credentials PA-C (Physician Assistant-Certified)
Entity Individual
Enumeration date 06/13/2005
Last updated 05/22/2020 - About 6 years ago
Sole proprietor 1 No
Identifiers
  • MN License # 9095
  • SD License # 0590
  • SD Medicaid 6823472
Hospital affiliation(s)
  • BROOKINGS HOSPITAL - (Acute Care)
    300 22ND AVE
    BROOKINGS, SD 57006
  • HENDRICKS COMMUNITY HOSPITAL - (Critical Access)
    503 E LINCOLN STREET
    HENDRICKS, MN 56136
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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