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

Individual provider Family Medicine Physician · NPI 1770019796

Brayton Kiedrowski, DO is a Sports Medicine in Shakopee, Minnesota. Graduated from Midwestern University, Chicago College of Osteopathic Med in 2017, 9 years ago. Practices with Reid Physician Associates Inc, a 423-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Indiana, Minnesota and Montana.

Years since qualifying
9
Trained at
Midwestern University, Chicago College of Osteopathic Med
Licensed in
IN, MN, MT
In the registry since
2017
Specialties on file
4
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

1700 Saint Francis Ave
Shakopee, MN 55379
Phone: (952) 831-8742
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1400 Highland Rd Ste 1, Richmond, IN 47374-8810 — (765) 962-4444

Specialties & licences

Sports Medicine (Family Medicine) Physician (primary) Taxonomy 207QS0010X · Licence 77987 (MN)
Family Medicine Physician Taxonomy 207Q00000X · Licence 88752 (MT)
Sports Medicine (Family Medicine) Physician Taxonomy 207QS0010X · Licence 02006537A (IN)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1770019796
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorYes
NPI enumeratedMay 11, 2017
Last updated in NPPESSeptember 13, 2024
Certification dateSeptember 9, 2024
Mailing address8170 33rd Ave S # Ms 21110q, Bloomington, MN 55425-4516

Medicare enrollment

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

Medicare specialtySPORTS MEDICINE
Also practisesFAMILY PRACTICE
Medical schoolMIDWESTERN UNIVERSITY, CHICAGO COLLEGE OF OSTEOPATHIC MED
Graduated 2017 (9 years in practice)
Group practice Reid Physician Associates Inc — 423 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

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