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

Brandon Casey Lyle, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1518490192

Brandon Casey Lyle, MD is a General Surgery in Saint Paul, Minnesota. Graduated from University of Iowa, Rj & L Carver College of Medicine in 2017, 9 years ago. Practices with Group Health Plan Inc, a 1,633-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Minnesota.

Years since qualifying
9
Trained at
University of Iowa, Rj & L Carver College of Medicine
Licensed in
MN
In the registry since
2017
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

640 Jackson St
Saint Paul, MN 55101-2502
Phone: (651) 495-6603
Fax: (651) 254-3123
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 420 Delaware St Se, Mmc 195, Minneapolis, MN 55455 — (612) 625-6483

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X · Licence 68476 (MN)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1518490192
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 10, 2017
Last updated in NPPESMay 14, 2021
Certification dateMay 14, 2021
Mailing address420 Delaware St Se, Mmc 195, Minneapolis, MN 55455

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyGENERAL SURGERY
Medical schoolUNIVERSITY OF IOWA, RJ & L CARVER COLLEGE OF MEDICINE
Graduated 2017 (9 years in practice)
Group practice Group Health Plan Inc — 1633 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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