Basic Information
| Provider Information | |||||||||
| NPI: | 1336382852 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | TRAPPEY | ||||||||
| FirstName: | BERNARD | ||||||||
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| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 720 WASHINGTON AVE SE | ||||||||
| Address2: | SUITE 300 | ||||||||
| City: | MINNEAPOLIS | ||||||||
| State: | MN | ||||||||
| PostalCode: | 554142924 | ||||||||
| CountryCode: | US | ||||||||
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| Practice Location | |||||||||
| Address1: | 14-100 PHILLIPS WANGENSTEEN BUILDING, MMC 391 | ||||||||
| Address2: | 420 DELAWARE STREET SE | ||||||||
| City: | MINNEAPOLIS | ||||||||
| State: | MN | ||||||||
| PostalCode: | 554550341 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6126240990 | ||||||||
| FaxNumber: | 6126253238 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 04/14/2009 | ||||||||
| LastUpdateDate: | 02/13/2014 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 390200000X | N | Student, Health Care | Student in an Organized Health Care Education/Training Program | 208M00000X | 261QM1300X | MN | N | Allopathic & Osteopathic Physicians | Hospitalist | 207R00000X | 261QM1300X | MN | Y | Allopathic & Osteopathic Physicians | Internal Medicine |
ID Information
| ID | Type | State | Issuer | Description | 54777 | 01 | MN | MINNESOTA MEDICAL LICENSE | OTHER | 1336382852 | 01 | MN | BLUE CROSS/ BLUE SHIELD OF MN | OTHER | 1336382852 | 01 | MN | MEDICA | OTHER |