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

Dr. Brett Joseph Waverly, DPM

Individual provider Podiatrist · NPI 1902241268

Dr. Brett Joseph Waverly, DPM is a Podiatry in Maple Grove, Minnesota. Qualified in 2013, 13 years ago. Practices with Allina Health System, a 3,867-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Illinois, Minnesota, Oregon and Wisconsin.

Years since qualifying
13
Licensed in
IL, MN, OR, WI
In the registry since
2013
Specialties on file
7
What do these letters mean?
DPM — Doctor of Podiatric Medicine
A foot and ankle physician and surgeon.

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Practice location Address checks out

7840 Vinewood Ln N
Maple Grove, MN 55369-7185
Phone: (763) 236-0200
Show map & directions

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

Additional practice locations (1)

  • 3680 Nw Samaritan Dr, Corvallis, OR 97330-3737 — (417) 541-1505

Specialties & licences

Podiatrist (primary) Taxonomy 213E00000X · Licence 1165 (MN)
Podiatrist Taxonomy 213E00000X · Licence 1085-25 (WI)
Podiatrist Taxonomy 213E00000X · Licence DP201954 (OR)
Podiatrist Taxonomy 213E00000X · Licence 016005725 (IL)
Foot & Ankle Surgery Podiatrist Taxonomy 213ES0103X · Licence DP201954 (OR)
Foot & Ankle Surgery Podiatrist Taxonomy 213ES0103X · Licence 016005725 (IL)
Foot & Ankle Surgery Podiatrist Taxonomy 213ES0103X · Licence 1085-25 (WI)

Record details

NPI number1902241268
Entity typeIndividual (Type 1)
GenderMale
Credentials DPM
Sole proprietorNo
NPI enumeratedMay 1, 2013
Last updated in NPPESSeptember 19, 2024
Certification dateSeptember 12, 2024

Medicare enrollment

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

Medicare specialtyPODIATRY
Medical schoolOTHER
Graduated 2013 (13 years in practice)
Group practice Allina Health System — 3867 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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