Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

One Bread One Body MD LLC

Organization Dermatology Physician · NPI 1083404966

One Bread One Body MD LLC is a Dermatology Physician in Faribault, Minnesota. Registered with an NPI since 2025.

In the registry since
2025
Specialties on file
2
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

513 Central Ave N Ste 1
Faribault, MN 55021-4322
Phone: (507) 301-7602
Fax: (507) 301-7602
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X
Family Medicine Physician Taxonomy 207Q00000X

Record details

NPI number1083404966
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Wendy Bongers — Practice Owner · (507) 301-7602
NPI enumeratedMay 12, 2025
Last updated in NPPESMay 12, 2025
Certification dateMay 12, 2025
Mailing address513 Central Ave N Ste 1, Faribault, MN 55021-4322