Individual provider Active NPI

Jerel James Brandt, DO

  • Surgery Physician
  • Meridian, ID
National Provider Identifier
1104051101
Registry record updated Sep 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
3371143 Issued in ID
Practice address
520 S Eagle Rd
Meridian, ID 83642-6351
Phone
(208) 381-6930
Fax
(208) 381-6931
NPI assigned
May 19, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 13365 ND
Surgery Physician 208600000X LT13365 ND
Surgery Physician 208600000X 3371143 ID Primary

Addresses

Primary practice location

520 S Eagle Rd
Meridian, ID 83642-6351

Mailing address

PO Box 5010
Minot, ND 58702-5010
Phone (701) 418-8000

Other practice location 1

101 3rd Ave. S.W.
Minot, ND 58701-3380
Phone (701) 857-5764

Other practice location 2

2305 37th Ave SW
Minot, ND 58701-7669
Phone (701) 857-5000

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://cobiusconnect.cobius.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service Other Cobius Healthcare Solutions

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ND, ID2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20140902002215 ND Practitioner - General Surgery 8426276585 Reassigns benefits to 15 organizations
I20250407002663 ID Practitioner - General Surgery 8426276585 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lutheran Charity AssociationGroup PAC ID 2264341031, shared by 6 NPIs, 168 clinicians
McKenzie County Healthcare Systems IncGroup PAC ID 5890768006, shared by 5 NPIs, 63 clinicians
Carrington Health CenterGroup PAC ID 0547177552, shared by 4 NPIs, 12 clinicians
St Alexius Medical CenterGroup PAC ID 8426960865, 239 clinicians

Practice addresses (Care Compare)

2422 20TH St SW
Jamestown, ND 58401-6201
Phone (701) 252-1050

509 16TH St NE
Suite 3
Watford City, ND 58854-7628
Phone (701) 444-7814

709 4TH Ave NE
Watford City, ND 58854-7628
Phone (701) 842-3000

820 N 5TH St
Carrington, ND 58421-1223
Phone (701) 652-2515

900 E Broadway Ave
Bismarck, ND 58501-4520
Phone (701) 530-7000

Hospital & facility affiliations

  • Towner County Medical Center Hospital, Cando, ND, CCN 351331
  • McKenzie County Healthcare Systems Inc Hospital, Watford City, ND, CCN 351302
  • St Andrew'S Hospital Hospital, Bottineau, ND, CCN 351307
  • Carrington Health Center Hospital, Carrington, ND, CCN 351318
  • Jamestown Regional Medical Center Hospital, Jamestown, ND, CCN 351335

Merit-based Incentive Payment System (MIPS)

Final score
81.05 of 100Reported as group
Quality
60.57
Promoting interoperability
98
Improvement activities
40
Cost
77.93

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
13365NDMDSurgery Physician
LT13365NDMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Midwest Surgical Solutions PLLC Surgery CurrentSince Jul 2, 2025 Accepting new patients
Carrington Health Center Current Accepting new patients
McKenzie County Healthcare Systems Inc Current Accepting new patients
Lutheran Charity Association CurrentSince Nov 15, 2024 Accepting new patients
McKenzie County Healthcare Systems Inc CurrentSince Aug 1, 2024 Accepting new patients
St. Alexius Medical Center CurrentSince Jan 1, 2025 Accepting new patients
Towner County Medical Center Inc CurrentSince Jan 1, 2025 Accepting new patients
Lutheran Charity Association CurrentSince Nov 15, 2024 Accepting new patients
Lutheran Charity Association Current Accepting new patients
St Lukes Clinic-Treasure Valley LLC CurrentSince Mar 27, 2025 Accepting new patients
St Aloisius Hospital Inc CurrentSince May 1, 2025 Accepting new patients
Carrington Health Center CurrentSince Apr 1, 2025 Accepting new patients
Lutheran Charity Association Current Accepting new patients
Towner County Medical Center Inc Current Accepting new patients
St Lukes Clinic-Treasure Valley LLC Surgery CurrentSince Mar 27, 2025 Accepting new patients
Northwest Dakota Surgery Center LLC Surgery CurrentSince Sep 23, 2025 Accepting new patients
McKenzie County Healthcare Systems Inc CurrentSince Aug 1, 2024 Accepting new patients
Good Samaritan Hospital Association Surgery CurrentSince Apr 1, 2025 Accepting new patients
St Aloisius Hospital Inc CurrentSince May 1, 2025 Accepting new patients
Carrington Health Center Current Accepting new patients
St Alexius Medical Center CurrentSince Jan 1, 2025 Accepting new patients
Carrington Health Center CurrentSince Apr 1, 2025 Accepting new patients
McKenzie County Healthcare Systems Inc Past Accepting new patients
McKenzie County Healthcare Systems Inc Surgery Past Accepting new patients
St Lukes Regional Medical Center Past Accepting new patients
McKenzie County Healthcare Systems Inc Past Accepting new patients

Locations

610 W Hays St
Boise, ID 83702
Phone (208) 345-3530

190 E Bannock St
Boise, ID 83712
Phone (208) 381-2378

100 E Warm Springs Ave
#B
Boise, ID 83712
Phone (208) 381-6930

520 S Eagle Rd
Meridian, ID 83642
Phone (208) 706-5000

520 S Eagle Rd
Ste 1241
Meridian, ID 83642
Phone (208) 288-2255

9850 W St Lukes Dr
Ste 260
Nampa, ID 83687
Phone (208) 381-3915

7776 Solutions Ctr
Chicago, IL 60677

900 E Broadway Ave
Bismarck, ND 58501
Phone (701) 530-7300

820 5th St N
Carrington, ND 58421
Phone (701) 399-0123

800 4th St N
Carrington, ND 58421
Phone (701) 652-3141

325 Brewster St E
Harvey, ND 58341
Phone (701) 324-4651

2422 20th St SW
Jamestown, ND 58401
Phone (701) 252-1050

1002 18th Ave SE
Ste B
Minot, ND 58701
Phone (701) 852-6153

1002 18th Ave SE
Minot, ND 58701
Phone (215) 205-2610

1002 18th Ave SE
Ste C
Minot, ND 58701
Phone (701) 857-6010

2975 Highway 2 E
Rugby, ND 58368
Phone (701) 776-5235

709 4th Ave NE
Watford City, ND 58854
Phone (701) 444-2331

525 N Main St
Watford City, ND 58854
Phone (701) 842-3771

1542 16th St W
Ste 300
Williston, ND 58801
Phone (701) 572-2470

Interoperability endpoints

  • Direct secure messaging: jerelbrandt@normd.allscriptsdirect.net
  • Direct secure messaging: jbrandt885303@achce.catholichealth.net

Organizations & group practices 27

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.

View all 27

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1242691200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758585600000",
    "number": "1104051101",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5010",
            "city": "MINOT",
            "state": "ND",
            "postal_code": "587025010",
            "telephone_number": "701-418-8000",
            "fax_number": "701-857-3430"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 S EAGLE RD",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836426351",
            "telephone_number": "208-381-6930",
            "fax_number": "208-381-6931"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "101 3rd Ave. S.W.",
            "address_purpose": "LOCATION",
            "city": "Minot",
            "state": "ND",
            "postal_code": "587013380",
            "country_code": "US",
            "telephone_number": "701-857-5764",
            "fax_number": "701-857-3557",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2305 37th Ave SW",
            "address_purpose": "LOCATION",
            "city": "Minot",
            "state": "ND",
            "postal_code": "587017669",
            "country_code": "US",
            "telephone_number": "701-857-5000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRANDT",
        "first_name": "JEREL",
        "middle_name": "JAMES",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-05-19",
        "last_updated": "2025-09-23",
        "certification_date": "2025-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "ND",
            "license": "13365",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "ND",
            "license": "LT13365",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "ID",
            "license": "3371143",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://cobiusconnect.cobius.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.3.1068.1",
            "affiliationName": "Cobius Healthcare Solutions",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "address_1": "2720 Dundee Rd # 302",
            "city": "Northbrook",
            "state": "IL",
            "country_code": "US",
            "postal_code": "600622609",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Meridian, ID

Sources for this page

Verify at the official NPI Registry.