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Dr. Brian Dwight Grudem, O.D.

Optometrist in White Bear Lake, MN · enumerated 2005 · practices at Birch Lake Vision Group, LLC..

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1194717298

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Registry record

Entity type Individual (Type 1)
Name Dr. Brian Dwight Grudem
Credential O.D.
Sex Male
Practice address 4720 White Bear Pkwy, White Bear Lake, MN, 55110
Fax (651) 426-9838
Enumeration date Aug 16, 2005
Last updated in NPPES Jul 8, 2007

Taxonomy & licenses

152W00000X Optometrist Eye and Vision Services Providers · License LD1732000 (MN) Primary
OD · Doctor of Optometry: A licensed optometrist providing primary vision care, eye exams, and corrective lenses. About the OD credential

Other identifiers

Identifier Type State Issuer
P00124841 Other MN MEDICARE RAILROAD RETIREM
965400656001 Other MN PREFERRED ONE
0N456GR Other MN BLUE CROSS BLUE SHIELD
HP29577 Other MN HEALTH PARTNERS
22-02690 Other MN MEDICA
22-02779 Other MN MEDICA

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

How do I verify Brian Grudem's NPI record?
Cross-check NPI 1194717298 against the official CMS registry at npiregistry.cms.hhs.gov. This page mirrors the same public NPPES data with a monthly snapshot.
Is NPI 1194717298 active?
Yes, as of the latest NPPES snapshot, NPI 1194717298 is active (record last updated 2007-07-08).

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2007-07-08.