Provider Demographics
NPI:1407813686
Name:HENDEL-PATERSON, BRETT R (MD)
Entity Type:Individual
Prefix:DR
First Name:BRETT
Middle Name:R
Last Name:HENDEL-PATERSON
Suffix:
Gender:M
Credentials:MD
Other - Prefix:MR
Other - First Name:BRETT
Other - Middle Name:REED
Other - Last Name:HENDEL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:8170 33RD AVE S
Mailing Address - Street 2:MS21110Q
Mailing Address - City:MINNEAPOLIS
Mailing Address - State:MN
Mailing Address - Zip Code:55425-4516
Mailing Address - Country:US
Mailing Address - Phone:952-883-5375
Mailing Address - Fax:651-254-1553
Practice Address - Street 1:640 JACKSON ST - MC 11109E
Practice Address - Street 2:HEALTHPARTNERS REGIONS SPECIALTY CLINICS
Practice Address - City:ST. PAUL
Practice Address - State:MN
Practice Address - Zip Code:55101-2502
Practice Address - Country:US
Practice Address - Phone:651-254-9545
Practice Address - Fax:651-254-1553
Is Sole Proprietor?:No
Enumeration Date:2006-04-29
Last Update Date:2011-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN46559207R00000X, 208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No208000000XAllopathic & Osteopathic PhysiciansPediatrics