Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1619941085 Individual Practitioner Male Practitioner

Dr. Stephen Kent Du Rivage , MD

Pediatrics • Brooklyn Center, MN

Public Directory Information & Medical Disclaimer

This profile is compiled from official public domain records provided by CMS and the NPPES registry. TRUE-MEDINFO is an independent reference directory and does not provide medical advice, diagnosis, or treatment recommendations. Always consult a licensed medical professional for personal health decisions.

Professional Overview & Biography Verified Profile Summary

Dr. Stephen Du Rivage, MD is a registered healthcare professional specializing in Pediatrics in Brooklyn Center, MN. Official NPI practice address is registered at 6845 LEE AVE N.

Practice Location & Contact Primary Location

Practice Address

6845 Lee Ave N
Mail Stop 31400a

Brooklyn Center, MN 554291717

Telephone 7635690300
Fax 7635690311
Associated Practice Facility / Clinic
🏢 Group Health Plan Inc Facility NPI 1790845741

Specialty Benchmarks & Practice Insights

Comparative analytics for Pediatrics in Brooklyn Center, MN

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 18.0 Yrs
State Avg: 20.6 Yrs
Regional Practice Density
12 Specialists

Practicing in Brooklyn Center, MN (1325 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

State License MN 29549

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

15 Associated Practitioners
Dr. John Vickers , MD

Obstetrics & Gynecology

NPI 1073585253

Doctor of Medicine (M.D.)

Dr. Saima Ahmer , MD

Family Medicine

NPI 1174642540

Doctor of Medicine (M.D.)

Dr. Lawrence Harms , MD

Obstetrics & Gynecology

NPI 1184696288

Doctor of Medicine (M.D.)

Dr. Shafgat Ullah , MD

Internal Medicine

NPI 1194798538

Doctor of Medicine (M.D.)

Dr. Paul Holten , DO

Internal Medicine

NPI 1215909494

Doctor of Osteopathic Medicine (D.O.)

Barbara Tjepkes , WHNP

Nurse Practitioner

NPI 1235101411

Women's Health Nurse Practitioner

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 6845 LEE AVE N, MAIL STOP 31400A, BROOKLYN CENTER, MN 554291717 (Tel: 7635690300)

📍
Updated Business Mailing Address July 08, 2007

Registered at 8100 34TH AVE S, 21110Q, BLOOMINGTON, MN 554251672 (Tel: 9528837961)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as STEPHEN DU RIVAGE, MD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Pediatrics (License #29549 in MN)

🟢
Initial NPI Registration & Enumeration February 14, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1619941085
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 14, 2006
Last Update: July 13, 2026
Sole Proprietor: No

Mailing Address

8100 34th Ave S, 21110q

Bloomington, MN 554251672

Phone: 9528837961

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.