Active NPI
Myles Brandt
- Certified Registered Nurse Anesthetist
- Bemidji, MN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- R33880
- Practice address
- 1300 Anne St NW
Bemidji, MN 56601-5103 - Phone
- (218) 333-5576
- NPI assigned
- Jan 17, 2014
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | R33880 | ND | Primary |
Addresses
Primary practice location
1300 Anne St NW
Bemidji, MN 56601-5103
Mailing address
1802 S 20TH St Apt 22
Grand Forks, ND 58201-6179
Phone (701) 340-5805
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20140321001519 | MN | Practitioner - Certified Registered Nurse Anesthetist (Crna) | 1052542750 | Reassigns benefits to 4 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Sanford Health of Northern Minnesota
Practice addresses (Care Compare)
1300 Anne St NW
Bemidji, MN 56601-5103
Phone (218) 333-5000
1611 Anne St NW
Bemidji, MN 56601-5114
Phone (218) 333-5000
Hospital & facility affiliations
- Sanford Bemidji Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 86.56 of 100
- Quality
- 74.25
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 76.16
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1519 | MN | MD | Athletic Trainer |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sanford Health Network North | Current | Accepting new patients | |
| Sanford Health of Northern Minnesota | Current | Accepting new patients | |
| Sanford Health of Northern Minnesota | Current | Accepting new patients | |
| Northland Anesthesia Associates | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Sanford Health Network North | Current | Accepting new patients | |
| Sanford Health Network North | Current | Accepting new patients | |
| Sanford Health Network North | Current | Accepting new patients | |
| St Francis Medical Center | Past | Accepting new patients |
Locations
1611 Anne St NW
Bemidji, MN 56601
Phone (218) 333-2020
1300 Anne St NW
Bemidji, MN 56601
Phone (218) 333-5794
10 5th St SE
Cook, MN 55723
Phone (218) 626-3441
1400 Highway 71
Intl Falls, MN 56649
Phone (218) 283-4481
1720 US Highway 59 SE
Thief Rvr Fls, MN 56701
Phone (218) 681-4747
400 10th St E
Waconia, MN 55387
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.
-
- Certified Registered Nurse Anesthetist
- Cook, MN
- NPI 1275073892
MN, Nurse Anesthetist, Certified Registered
-
- Internal Medicine Physician
- Bemidji, MN
- NPI 1780628149
-
- Occupational Medicine Physician
- Bemidji, MN
- NPI 1023496155
-
- Pharmacy
- Bemidji, MN
- NPI 1083933824
-
- Ophthalmology Physician
- Bemidji, MN
- NPI 1154587780
-
- Community/Retail Pharmacy
- Bemidji, MN
- NPI 1184728743
-
- Home Health Agency
- Bemidji, MN
- NPI 1215043633
-
- Eyewear Supplier
- International Falls, MN
- NPI 1285028878
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Bemidji, MN
- NPI 1427567601
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Internal Medicine Physician
- Bemidji, MN
- NPI 1780628149
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1389916800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1389916800000",
"number": "1275955767",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1802 S 20TH ST APT 22",
"city": "GRAND FORKS",
"state": "ND",
"postal_code": "582016179",
"telephone_number": "701-340-5805"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1300 ANNE ST NW",
"city": "BEMIDJI",
"state": "MN",
"postal_code": "566015103",
"telephone_number": "218-333-5576"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRANDT",
"first_name": "MYLES",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-01-17",
"last_updated": "2014-01-17",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "ND",
"license": "R33880",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bemidji, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2014; 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.