Kim B. Brandt, MD

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

MD00045715 Issued in WA

Practice address

3900 Capitol Mall Dr SW
Olympia, WA 98502-8654

Phone

(360) 754-5858

NPI assigned

Jun 14, 2006

Last updated

Aug 24, 2010By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Other identifiers 5

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Henry County Soldiers' and Sailors' Memorial Hospital

  dba Henry County Health Center

  • Skilled Nursing Facility
  • Mt Pleasant, IA
  • NPI 1982691002
  NPD (past)
• Heritage Emergency Physicians

  • Emergency Medicine Physician
  • Clinton, IA
  • NPI 1265620819
  NPD (past)
• Iowa Physicians Clinic Medical Foundation

  dba UnityPoint Clinic

  • General Practice Physician
  • West Des Moines, IA
  • NPI 1366425274

  Family Medicine

  NPD (past)
• Washington County Hospital

  dba WCHC Kalona Clinic

  • Family Medicine Physician
  • Kalona, IA
  • NPI 1235985003
  NPD (past)

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

{
    "created_epoch": "1150243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1282608000000",
    "number": "1518900950",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5101 BRENNER RD NW",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985021534",
            "telephone_number": "319-329-8908"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3900 CAPITOL MALL DR SW",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985028654",
            "telephone_number": "360-754-5858"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRANDT",
        "first_name": "KIM",
        "middle_name": "B.",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-14",
        "last_updated": "2010-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "WA",
            "license": "MD00045715",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IA",
            "license": "20279",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WA",
            "license": "MD00045715",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LIWA VCR",
            "identifier": "0236140",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RRGA",
            "identifier": "P00626487",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BSWA",
            "identifier": "3076BR",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8444226",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1012308",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jereme Leonard Brammeier, M.D.
• Ivan Goff Bramwell
• Sophia Noelle Brand, LMP
• Richard Brandt-Kreutz, LCSW
• Antonio L Brandt, M.D.
• Rebecca C Brandt, MD
• Valerie Brandt, ARNP
• Kendra Nicole Brannberg
• Richard Brantner, M.D.
• Harpreet S Brar, MD

• Emergency Medicine Physician in Olympia, WA
• Providers in Olympia, WA by specialty
• Emergency Medicine Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2010; 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.