Marshall O. Breneman, PA
Physician Assistant · Plymouth, MN
Marshall O. Breneman, PA is a physician assistant with a practice address in Plymouth, Minnesota, and NPI 1992493001, issued on Apr 26, 2023. Check the license (Minnesota 15053, as entered in NPPES) with the Minnesota board that licenses this profession; the Medicare figures below come from public CMS files.
- Name
- Marshall O. Breneman
- Credential
- PA
- Primary taxonomy
- Physician Assistant 363A00000X
- License number
- 15053 MN
Self-reported in NPPES; status is on the state search - Practice location
- 2800 Campus Dr Ste 20, Plymouth, MN 55441
- Phone
- (763) 398-4400
- Enumerated
- Apr 26, 2023
- Record last updated
- Aug 15, 2025
- Medicare enrollment
- Enrolled (PECOS I20241115003392); accepts Medicare assignment
- Entity
- Type 1 · individual
8 nearest physician assistant records → All 4,007 in Minnesota → Look up another NPI →
Also registered at 2800 Campus Dr Ste 20
A shared address usually means a shared clinic or building; it does not show who employs whom.
- Melissa Bredemus, APRN, CNPNurse Practitioner1699504829
- Kaeli DemarcoPhysician Assistant1609464734
- Cameron Fox, MD PHDDiagnostic Radiology Physician1568042331
- Kerri Harting, MDDiagnostic Radiology Physician1487674040
- Lisa Hoepner, PA-CPhysician Assistant1215024807
- Sergey Kulikov, MDNeuroradiology Physician1609294867
Verify Marshall O. Breneman in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersWhich Minnesota board licenses this profession
Search for license 15053Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Bills Medicare through 2 group practices
- Allina Health SystemPlymouth, MN
- Minneapolis Radiology Associates LtdRobbinsdale, MN
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
Marshall O. Breneman among 4,007 physician assistant records in Minnesota
Marshall O. Breneman, PA is one of 4,007 physician assistant records with a practice address in Minnesota. 85% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2023, is newer than 84% of them.
- NPI issued2023 · 84% of these records are older, 9% newer
- In a Medicare fileYes · 85% of these records are
- In the CMS Doctors and Clinicians fileYes · 78% of these records are
- Graduated2024 · median 2017 among the 3,131 with a school on file
- Record last updated2025 · 40% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 363A00000X and a Minnesota practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
54 physician assistant records list a practice address in Plymouth
They are 54 of the 1,500 NPPES records with a practice address in Plymouth, and 4,007 physician assistant records in Minnesota.
All 4,007 in Minnesota → Every provider in Plymouth → Physician Assistant nationwide →
The 8 physician assistant records with the nearest ZIP codes
- Kaeli DemarcoPlymouth, MN 554411609464734
- Patrick Denman, PA-CPlymouth, MN 554411164759528
- Narges Golgol, PAPlymouth, MN 554411457741092
- Lisa Hoepner, PA-CPlymouth, MN 554411215024807
- Joalle Holmberg, PAPlymouth, MN 554411932258472
- Michael Jacob, PA-CPlymouth, MN 554411821502154
- Randee McGown, PAPlymouth, MN 554411629097258
- Amy Moe, PAPlymouth, MN 554411457382137
Common questions
What is Marshall O. Breneman, PA's NPI number?
Marshall O. Breneman, PA's National Provider Identifier (NPI) is 1992493001, issued on Apr 26, 2023. An NPI identifies a provider in billing; it is not a license.
Where is Marshall O. Breneman, PA located?
The NPPES record lists a practice address at 2800 Campus Dr Ste 20, Plymouth, MN, 55441. Phone: (763) 398-4400. Providers update this record themselves, so call before visiting.
How can I verify Marshall O. Breneman, PA's license?
NPPES lists Minnesota license number 15053, as entered by the provider. Search the Minnesota board that licenses this profession; the NPPES record confirms identity only.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.