Active NPI
Nick Berndt
- Physical Medicine & Rehabilitation Physician
- Britton, SD
National Provider Identifier
1073158838
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Medicine & Rehabilitation Physician
- License
- 0497
- Practice address
- 1311 Vander Horck St
Britton, SD 57430-2254 - Phone
- (605) 268-3075
- NPI assigned
- Nov 15, 2019
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | 0497 | SD | |
| Physical Medicine & Rehabilitation Physician | 208100000X | 0497 | SD | Primary |
Addresses
Primary practice location
1311 Vander Horck St
Britton, SD 57430-2254
Mailing address
1311 Vander Horck St
Britton, SD 57430-2254
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0497 | SD | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1573776000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1573776000000",
"number": "1073158838",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1311 VANDER HORCK ST",
"city": "BRITTON",
"state": "SD",
"postal_code": "574302254"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1311 VANDER HORCK ST",
"city": "BRITTON",
"state": "SD",
"postal_code": "574302254",
"telephone_number": "605-268-3075"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BERNDT",
"first_name": "NICK",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2019-11-15",
"last_updated": "2019-11-15",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "SD",
"license": "0497",
"primary": false
},
{
"code": "208100000X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation",
"state": "SD",
"license": "0497",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Britton, SD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.