Individual provider Active NPI

Brad D Fischer, MSPT

  • Physical Therapist
  • Hot Springs, SD
National Provider Identifier
1699740605
Registry record updated Dec 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1492 Issued in SD
Practice address
244 S Chicago St
Hot Springs, SD 57747-2322
Phone
(406) 748-3600
Fax
(406) 748-3606
NPI assigned
Feb 22, 2006
Last updated
Dec 16, 2018By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 16, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 1962 MT
Physical Therapist 225100000X 1492 SD Primary

Addresses

Primary practice location

244 S Chicago St
Hot Springs, SD 57747-2322

Mailing address

244 S Chicago St
Hot Springs, SD 57747-2322
Phone (605) 745-4761

Other identifiers 2

IdentifierTypeStateIssuer
3401905MedicaidMT
000061381OtherMTBLUE SHIELD PROVIDER NUMB

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SD

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170822003485 SD Practitioner - Physical Therapist in Private Practice 6204855018 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Battle Mountain Physical Therapy LLCGroup PAC ID 9638445737, 2 clinicians

Practice addresses (Care Compare)

244 S Chicago St
Hot Springs, SD 57747-2322
Phone (605) 745-4761

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1962MTMDPhysical Therapist
1492SDMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
County of Rosebud Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1140566400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1544918400000",
    "number": "1699740605",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "244 S CHICAGO ST",
            "city": "HOT SPRINGS",
            "state": "SD",
            "postal_code": "577472322",
            "telephone_number": "605-745-4761",
            "fax_number": "605-745-4762"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "244 S CHICAGO ST",
            "city": "HOT SPRINGS",
            "state": "SD",
            "postal_code": "577472322",
            "telephone_number": "406-748-3600",
            "fax_number": "406-748-3606"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FISCHER",
        "first_name": "BRAD",
        "middle_name": "D",
        "credential": "MSPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-02-22",
        "last_updated": "2018-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MT",
            "license": "1962",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "SD",
            "license": "1492",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3401905",
            "state": "MT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD PROVIDER NUMB",
            "identifier": "000061381",
            "state": "MT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hot Springs, SD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.