Brian Ruben Brandt, CNP, PMHNP-BC
Individual provider Active NPI Psychiatric/Mental Health Nurse Practitioner · Spearfish, SD
NPI 1629612148 · NPPES record last updated Apr 9, 2024
Key facts
- NPI
- 1629612148
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner 363LP0808X
- License
- CP001671 (SD)
- Practice address
- 115 N 7TH St Ste 6
Spearfish, SD 57783-2710 - Phone
- (605) 645-0100
- Fax
- (605) 717-1009
- NPI assigned
- Oct 29, 2019
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 4
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Black Hills Psychology LLC
Community Counseling Service
Practice addresses (Care Compare)
115 N 7TH St
Suite 6
Spearfish, SD 57783-2710
Phone (605) 645-0100
357 Kansas Ave SE
Huron, SD 57350-2517
Phone (605) 352-8596
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in SD, NE
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20200127002036 | SD | Practitioner - Nurse Practitioner | 3072948298 | Reassigns benefits to 2 organizations |
| I20200219001738 | NE | Practitioner - Nurse Practitioner | 3072948298 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Certified Nurse Practitioner, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CP001671 | SD | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Community Counseling Service | Current |
Accepting new patients | |
| Black Hills Psychology, LLC | Psychiatric/Mental Health | Current |
Accepting new patients |
| Sacred Heart Health Services | Current |
Accepting new patients | |
| Sacred Heart Health Services | Current | Accepting new patients |
Locations
357 Kansas Ave SE
Huron, SD 57350
Phone (605) 352-8596
914 NE 3rd St
Madison, SD 57042
Phone (605) 256-9656
115 N 7th St
Ste 6
Spearfish, SD 57783
Phone (605) 645-0100
501 Summit St
Yankton, SD 57078
Phone (605) 655-1201
409 Summit St
Ste 3300
Yankton, SD 57078
Phone (605) 655-1240
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | CP001671 | SD | Yes |
Addresses
Primary practice location
115 N 7TH St Ste 6
Spearfish, SD 57783-2710
Mailing address
115 N 7TH St Ste 6
Spearfish, SD 57783-2710
Phone (605) 645-0100
Other names
- Brian R Brandt
Other providers in Spearfish, SD
- Jay D Bogard
- Brandon Benjamin Boke
- Lucretia Lynn Bowen
- Forrest S Brady
- Dylan Brandenburg
- Mayson Brauer
- Phoebe Lynn Breed
- Jaycee Breidenbach
- Tracie Erin Bren-Clegg
- Heather A Brewer
All providers in Spearfish, SD · Psychiatric/Mental Health Nurse Practitioner in South Dakota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 9, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.