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

Eric Brandon Roth, MD

Individual provider Emergency Medicine Physician · NPI 1982869657

Eric Brandon Roth, MD is an Emergency Medicine in Maplewood, Minnesota. Graduated from Geisel School of Medicine at Dartmouth in 2008, 18 years ago. Practices with Kaiser Foundation Health Plan of the Northwest, a 1,811-clinician group and accepts Medicare assignment. Licensed in Minnesota.

Years since qualifying
18
Trained at
Geisel School of Medicine at Dartmouth
Licensed in
MN
In the registry since
2008
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

1575 Beam Ave Emergency Dept
Maplewood, MN 55109-1126
Phone: (651) 232-7000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence 53834 (MN)
Emergency Medicine Physician Taxonomy 207P00000X · Licence 21199 (MN)

Record details

NPI number1982869657
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 22, 2008
Last updated in NPPESFebruary 4, 2022
Mailing address20744 Gemini Trl, Lakeville, MN 55044-2515

Medicare enrollment

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

Medicare specialtyEMERGENCY MEDICINE
Medical schoolGEISEL SCHOOL OF MEDICINE AT DARTMOUTH
Graduated 2008 (18 years in practice)
Group practice Kaiser Foundation Health Plan Of The Northwest — 1811 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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