NPI Portal NPI Lookup & Verification

Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum

Integrated Med Group Pllc

Medical Specialty Clinic/Center in Brooklyn Center, MN · enumerated 2020 · authorized official Jason Stadther, Ceo/Owner.

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

National Provider Identifier

1609474998

Verified

See something wrong? Report a correction

Registry record

Entity type Organization (Type 2)
Legal business name Integrated Med Group Pllc
Practice address 2781 Freeway Blvd Ste 160, Brooklyn Center, MN, 55430
Phone (763) 515-8799
Fax (763) 244-8021
Enumeration date Oct 9, 2020
Last updated in NPPES Oct 9, 2020

Taxonomy & classification

261QM2500X Medical Specialty Clinic/Center Ambulatory Health Care Facilities Primary
363L00000X Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers Secondary

Authorized official

Name Jason Stadther
Title Ceo/Owner
Phone (763) 515-8799

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.

Read the full guide → Validate an NPI →

Frequently asked questions

Where is Integrated Med Group Pllc located?
The practice location on file with NPPES is in Brooklyn Center, MN.
How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2020-10-09. Verify at npiregistry.cms.hhs.gov.

Providers at this address

Browse all →

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2020-10-09.