Brandon Michael Traudt, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

1305 Issued in NE

Practice address

207 Howard Ave
Saint Paul, NE 68873-2120

Phone

(308) 754-5515

Fax

(308) 754-7830

NPI assigned

Oct 19, 2006

Last updated

Jul 9, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NE

Enrollment records 1

Specialty

Chiropractic

Education

Northwestern College of Chiropractic, 2002

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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

• Family Chiropractic Center of St. Paul, P.C.

  • Chiropractor
  • Saint Paul, NE
  • NPI 1659581049
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1161216000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1184706434",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1310 MEADOW RD",
            "city": "GRAND ISLAND",
            "state": "NE",
            "postal_code": "688031550",
            "telephone_number": "308-381-2029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "207 HOWARD AVE",
            "city": "SAINT PAUL",
            "state": "NE",
            "postal_code": "688732120",
            "telephone_number": "308-754-5515",
            "fax_number": "308-754-7830"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRAUDT",
        "first_name": "BRANDON",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-19",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NE",
            "license": "1305",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Heidi Sue Stelk, LPN
• April Summers
• Jenae Svoboda
• Kaylee Tedford
• Christopher W Tomhave, MD
• Jessica Usasz
• Christian A. Vera
• VSL St Paul LLC (Brookefield Park)
• Jazmine M Walz
• Jami Wemhoff, SLP

• Chiropractor in Saint Paul, NE
• Providers in Saint Paul, NE by specialty
• Chiropractor in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.