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

Dr. Bart Theodore Endrizzi, MD/PHD

Individual provider MOHS-Micrographic Surgery Physician · NPI 1235323585

Dr. Bart Theodore Endrizzi, MD/PHD is a Micrographic Dermatologic Surgery (Mds) in Fridley, Minnesota. Graduated from University of Minnesota Medical School in 2005, 21 years ago. Practices with North Metro Dermatology PLLC, a 4-clinician group and accepts Medicare assignment. Licensed in Minnesota.

Years since qualifying
21
Trained at
University of Minnesota Medical School
Licensed in
MN
In the registry since
2007

Practice location Address checks out

500 Osborne Rd NE Ste 330
Fridley, MN 55432-2769
Phone: (763) 571-4000
Show map & directions

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

Specialties & licences

MOHS-Micrographic Surgery Physician (primary) Taxonomy 207ND0101X · Licence 52206 (MN)

Record details

NPI number1235323585
Entity typeIndividual (Type 1)
GenderMale
Credentials MD/PHD
Sole proprietorNo
NPI enumeratedAugust 29, 2007
Last updated in NPPESAugust 22, 2022
Certification dateAugust 22, 2022
Mailing address119 14th St Nw Ste 240, New Brighton, MN 55112-0007

Medicare enrollment

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

Medicare specialtyMICROGRAPHIC DERMATOLOGIC SURGERY (MDS)
Also practisesDERMATOLOGY
Medical schoolUNIVERSITY OF MINNESOTA MEDICAL SCHOOL
Graduated 2005 (21 years in practice)
Group practice North Metro Dermatology Pllc — 4 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Fridley