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

Matthew Wallner Brostrom, PA-C

Individual provider Physician Assistant · NPI 1477182160

Matthew Wallner Brostrom, PA-C is a Physician Assistant in Minneapolis, Minnesota. Qualified in 2021, 5 years ago. Practices with Allina Health System, a 3,867-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Arizona and Minnesota.

Years since qualifying
5
Licensed in
AZ, MN
In the registry since
2020
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

913 E 26th St Ste 600
Minneapolis, MN 55404-4515
Phone: (612) 775-6200
Fax: (612) 775-6222
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

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

Additional practice locations (1)

  • 9321 W Thomas Rd Ste 202, Phoenix, AZ 85037-3392 — (866) 974-2673

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 13679 (MN)
Physician Assistant Taxonomy 363A00000X · Licence 8469 (AZ)

Record details

NPI number1477182160
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorYes
NPI enumeratedApril 3, 2020
Last updated in NPPESOctober 17, 2024
Certification dateOctober 17, 2024

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Allina Health System — 3867 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations3 on file with Medicare

Other providers in Minneapolis