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

Dr. Dustin Brockberg, PHD

Individual provider Psychologist · NPI 1801422928

Dr. Dustin Brockberg, PHD is a Psychiatry in Minneapolis, Minnesota. Qualified in 2019, 7 years ago. Practices with Allina Health System, a 3,867-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Minnesota.

Years since qualifying
7
Licensed in
MN
In the registry since
2020
What do these letters mean?
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.

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Practice location Address checks out

800 E 28th St Ste 1750
Minneapolis, MN 55407-3723
Phone: (612) 863-4495
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 15251 Pleasant Valley Rd, Center City, MN 55012-9640 — (651) 213-4078

Specialties & licences

Psychologist (primary) Taxonomy 103T00000X · Licence LP6577 (MN)

Record details

NPI number1801422928
Entity typeIndividual (Type 1)
GenderMale
Credentials PHD
Sole proprietorNo
NPI enumeratedMarch 20, 2020
Last updated in NPPESApril 27, 2023
Certification dateApril 27, 2023
Mailing address2925 Chicago Ave, Minneapolis, MN 55407-1321

Medicare enrollment

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

Medicare specialtyPSYCHIATRY
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Allina Health System — 3867 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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