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

Justin Lawrence Bauer

Individual provider Diagnostic Radiology Physician · NPI 1538691373

Justin Lawrence Bauer is a Diagnostic Radiology in Eden Prairie, Minnesota. Graduated from University of California, San Diego School of Medicine in 2017, 9 years ago. Practices with Mankato Clinic Ltd, a 242-clinician group and accepts Medicare assignment. Licensed in California and Minnesota.

Years since qualifying
9
Trained at
University of California, San Diego School of Medicine
Licensed in
CA, MN
In the registry since
2017
Specialties on file
2
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Practice location Address checks out

7595 Anagram Dr
Eden Prairie, MN 55344-7399
Phone: (612) 573-2200
Fax: (612) 573-2274
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Diagnostic Radiology Physician (primary) Taxonomy 2085R0202X · Licence A157028 (CA)
Diagnostic Radiology Physician Taxonomy 2085R0202X · Licence 76610 (MN)

Record details

NPI number1538691373
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMarch 30, 2017
Last updated in NPPESMay 27, 2025
Certification dateMay 1, 2024
Mailing address7595 Anagram Dr, Eden Prairie, MN 55344-7399

Medicare enrollment

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

Medicare specialtyDIAGNOSTIC RADIOLOGY
Medical schoolUNIVERSITY OF CALIFORNIA, SAN DIEGO SCHOOL OF MEDICINE
Graduated 2017 (9 years in practice)
Group practice Mankato Clinic Ltd — 242 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations6 on file with Medicare

Other providers in Eden Prairie