Individual provider Active NPI

Brandon Matthew Horse Looking

  • Driver
  • Bismarck, ND
National Provider Identifier
1134838428
Registry record updated Nov 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
DriverTaxonomy code 172A00000X
License
HOR000655 Issued in ND
Practice address
2403 E Thayer Ave
Bismarck, ND 58501-5014
Phone
(701) 202-7731
NPI assigned
Nov 16, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 16, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Driver 172A00000X HOR000655 ND Primary

Addresses

Primary practice location

2403 E Thayer Ave
Bismarck, ND 58501-5014

Mailing address

1119 University Dr Lot 1508
Bismarck, ND 58504-6614
Phone (701) 471-1037

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

LicenseStateTypeSpecialty
HOR000655NDMDDriver

Practice roles

OrganizationSpecialtyStatusNew patients
Native Community Development, Inc. Dba Native, Inc. CurrentSince Nov 20, 2022 Accepting new patients

Locations

2403 E Thayer Ave
Bismarck, ND 58501
Phone (701) 557-7311

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1668556800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668556800000",
    "number": "1134838428",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1119 UNIVERSITY DR LOT 1508",
            "city": "BISMARCK",
            "state": "ND",
            "postal_code": "585046614",
            "telephone_number": "701-471-1037"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2403 E THAYER AVE",
            "city": "BISMARCK",
            "state": "ND",
            "postal_code": "585015014",
            "telephone_number": "701-202-7731"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HORSE LOOKING",
        "first_name": "BRANDON",
        "middle_name": "MATTHEW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-11-16",
        "last_updated": "2022-11-16",
        "certification_date": "2022-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172A00000X",
            "taxonomy_group": "",
            "desc": "Driver",
            "state": "ND",
            "license": "HOR000655",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bismarck, ND

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2022; 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.