Individual provider Active NPI

Brad Camden Zwart

  • Family Medicine Physician
  • Brandon, SD
National Provider Identifier
1699466995
Registry record updated Aug 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
18766 Issued in SD
Practice address
1101 E Holly Blvd
Brandon, SD 57005-1426
Phone
(605) 582-3853
NPI assigned
May 17, 2023
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 18766 SD Primary

Addresses

Primary practice location

1101 E Holly Blvd
Brandon, SD 57005-1426

Mailing address

1101 E Holly Blvd
Brandon, SD 57005-1426
Phone (605) 582-3853

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230802004416 TX Order and Referring Only - Family PracticePractitioner - Family Practice 0143681437

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1684281600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786924800000",
    "number": "1699466995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1101 E HOLLY BLVD",
            "city": "BRANDON",
            "state": "SD",
            "postal_code": "570051426",
            "telephone_number": "605-582-3853"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 E HOLLY BLVD",
            "city": "BRANDON",
            "state": "SD",
            "postal_code": "570051426",
            "telephone_number": "605-582-3853"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZWART",
        "first_name": "BRAD",
        "middle_name": "CAMDEN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-05-17",
        "last_updated": "2026-08-17",
        "certification_date": "2026-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "SD",
            "license": "18766",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brandon, SD

Sources for this page

Verify at the official NPI Registry.