Brandon D. Riesenmy, M.D.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

04-23189 Issued in KS

Practice address

2001 S Connor Ave
Joplin, MO 64804-1841

Phone

(417) 782-0880

Fax

(417) 782-0884

NPI assigned

Apr 28, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Medicalodges, Inc.

  • Dental Clinic/Center
  • Pittsburg, KS
  • NPI 1306907969
  NPD (past)
• Medicalodges, Inc.

  • Intellectual Disabilities Intermediate Care Facility
  • Pittsburg, KS
  • NPI 1760579700
  NPD (past)
• Via Christi Home Health Pittsburg, LLC

  • Home Health Agency
  • Pittsburg, KS
  • NPI 1407874449
  NPD (past)

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

{
    "created_epoch": "1146182400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1391731200000",
    "number": "1083671333",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 E. CENTENNIAL",
            "address_2": "STE. 13",
            "city": "PITTSBURG",
            "state": "KS",
            "postal_code": "66762",
            "telephone_number": "620-231-1068",
            "fax_number": "620-231-2792"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2001 S CONNOR AVE",
            "city": "JOPLIN",
            "state": "MO",
            "postal_code": "648041841",
            "telephone_number": "417-782-0880",
            "fax_number": "417-782-0884"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIESENMY",
        "first_name": "BRANDON",
        "middle_name": "D.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-28",
        "last_updated": "2014-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MO",
            "license": "112406",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "KS",
            "license": "04-23189",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "208649947",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "208649962",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KANSAS LICENSE",
            "identifier": "04-23189",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Matthew B Richins, DPM
• Jason Lee Ricks, CRNA
• Riddles Beauty Supply
• Jenna M Rider
• Nathaniel Cashion Rider, MD
• Michael Charles Rimar, R.PH.
• Bill Brody Rink
• Jeffrey Scott Rinker
• Darren Michael Rippee, DO
• Delila Jo Ritchey

• Psychiatry Physician in Joplin, MO
• Providers in Joplin, MO by specialty
• Psychiatry Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2014; 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.