Provider Demographics
NPI:1396714267
Name:MURPHY, BRONAGH P (MD)
Entity type:Individual
Prefix:
First Name:BRONAGH
Middle Name:P
Last Name:MURPHY
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2925 CHICAGO AVE
Mailing Address - Street 2:
Mailing Address - City:MINNEAPOLIS
Mailing Address - State:MN
Mailing Address - Zip Code:55407-1321
Mailing Address - Country:US
Mailing Address - Phone:612-262-5000
Mailing Address - Fax:
Practice Address - Street 1:800 E 28TH ST STE 401
Practice Address - Street 2:
Practice Address - City:MINNEAPOLIS
Practice Address - State:MN
Practice Address - Zip Code:55407-3723
Practice Address - Country:US
Practice Address - Phone:612-863-0200
Practice Address - Fax:612-863-0235
Is Sole Proprietor?:No
Enumeration Date:2006-03-14
Last Update Date:2024-09-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN37666207RX0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RX0202XAllopathic & Osteopathic PhysiciansInternal MedicineMedical Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
WI34233800Medicaid
MN01017338OtherPREFERREDONE
MN125350OtherUCARE MN
MNHP27197OtherHEALTHPARTNERS
MN3607138OtherMEDICA
MN391014800Medicaid
MN787144OtherAMERICA'S PPO
MN29B84MUOtherBLUE CROSS BLUE SHIELD MN
MN125350OtherUCARE MN
MN01017338OtherPREFERREDONE
MN3607138OtherMEDICA