Individual provider
TANYA MARIE BROSSART
CMS NPPES lists TANYA MARIE BROSSART as an individual provider record with NPI 1720930159. The current record reports a primary practice location in ADA, MN and primary taxonomy code 171M00000X.
Type 1 NPIs identify individual healthcare providers. How to read this profile
01
Practice locations
- Primary practice location15 2ND AVE E STE 108ADA, MN 565101341
Only source-designated practice locations are shown here. Mailing addresses are not presented as practice locations.
02
Taxonomy information
171M00000XPrimary reported taxonomy
Taxonomy codes describe provider classifications reported to NPPES. Repeated identical codes are shown once, with primary-reported status preserved. They are not licenses, certifications, quality measures, or NPIFolio specialty labels. Read the taxonomy methodology.
03
NPI record information
- NPI status
- Enumerated in NPPES
- Enumeration date
- February 10, 2026
An NPI is a federal identifier. Enumeration and lifecycle information does not establish medical-license status, current practice, disciplinary history, provider quality, or whether a provider is accepting patients.