Brandon Baxter
Individual provider Active NPI Public Health or Welfare Agency · Riverton, WY
NPI 1366909020 · NPPES record last updated Feb 28, 2019
Key facts
- NPI
- 1366909020
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Public Health or Welfare Agency 251K00000X
- Practice address
- 11 Minter LN
Riverton, WY 82501-8959 - Phone
- (307) 856-2643
- NPI assigned
- Feb 28, 2019
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fremont County Group Homes | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Public Health or Welfare Agency | 251K00000X | Yes |
Addresses
Primary practice location
11 Minter LN
Riverton, WY 82501-8959
Mailing address
11 Minter LN
Riverton, WY 82501-8959
Phone (307) 856-2643
Other providers in Riverton, WY
- Banner Health Physicians West LLC
- Shanda Barlow
- Heather Barrows
- Wyatt Chester Barrus
- Grant A Basko
- Richard Doug Bebout
- Codi Beckman
- Susan A Bell-Milby
- Byron Bell
- Benchmark Dental, PC
All providers in Riverton, WY · Public Health or Welfare Agency in Wyoming
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 28, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.