Organization Active NPI

Brandi S Brechtelsbauer DPM PLLC

  • Podiatrist
  • Bay City, MI
National Provider Identifier
1558005777
Registry record updated Apr 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
Legal business name
BRANDI S BRECHTELSBAUER DPM PLLC
Practice address
316 S Columbian St
Bay City, MI 48706-2906
Phone
(989) 686-2331
Fax
(989) 790-5071
NPI assigned
Apr 25, 2022
Last updated
Apr 25, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2022

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

Authorized official

Name
Brandi Sue Brechtelsbauer, DPMNPI 1386904035
Title
Owner
Phone
(989) 225-1281

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X NU Primary

Addresses

Primary practice location

316 S Columbian St
Bay City, MI 48706-2906

Mailing address

316 S Columbian St
Bay City, MI 48706-2906
Phone (989) 686-2331

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20220929002919 MI Part B Supplier - Clinic/Group Practice 5698151595 Receives reassigned benefits from 1 practitioner
Practice locations: Bay City, MI
O20221222002032 MI DME Supplier - Physician - Podiatry 5698151595 Practice locations: Bay City, MI

National Provider Directory

National Provider Directory

Locations

316 S Columbian St
Bay City, MI 48706
Phone (989) 686-2331

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1650844800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1650844800000",
    "number": "1558005777",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "316 S COLUMBIAN ST",
            "city": "BAY CITY",
            "state": "MI",
            "postal_code": "487062906",
            "telephone_number": "989-686-2331",
            "fax_number": "989-790-5071"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "316 S COLUMBIAN ST",
            "city": "BAY CITY",
            "state": "MI",
            "postal_code": "487062906",
            "telephone_number": "989-686-2331",
            "fax_number": "989-790-5071"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRANDI S BRECHTELSBAUER DPM PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-25",
        "last_updated": "2022-04-25",
        "certification_date": "2022-04-25",
        "status": "A",
        "authorized_official_last_name": "BRECHTELSBAUER",
        "authorized_official_first_name": "BRANDI",
        "authorized_official_middle_name": "SUE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "989-225-1281",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bay City, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.