Brandon Scott Flugum

Primary specialty

Non-emergency Medical Transport (VAN)Taxonomy code 343900000X

License

734ZZ0755 Issued in IA

Practice address

105 S Iowa St
Manly, IA 50456-7748

Phone

(641) 590-1609

NPI assigned

Sep 11, 2018

Last updated

Sep 11, 2018By the provider in NPPES

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1536624000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1536624000000",
    "number": "1083197537",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 175",
            "city": "MANLY",
            "state": "IA",
            "postal_code": "504560175",
            "telephone_number": "641-590-1609"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 S IOWA ST",
            "city": "MANLY",
            "state": "IA",
            "postal_code": "504567748",
            "telephone_number": "641-590-1609"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLUGUM",
        "first_name": "BRANDON",
        "middle_name": "SCOTT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-09-11",
        "last_updated": "2018-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "IA",
            "license": "734ZZ0755",
            "primary": true
        },
        {
            "code": "344600000X",
            "taxonomy_group": "",
            "desc": "Taxi",
            "state": "IA",
            "license": "734ZZ0755",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Care Initiatives (Manly Specialty Care)
• Central Springs Community School District
• North Central Community School District
• Kristina Schulz, RN
• Stephen Richard Welsh, DDS

• Non-emergency Medical Transport (VAN) in Manly, IA
• Providers in Manly, IA by specialty
• Non-emergency Medical Transport (VAN) in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.