Active NPI
Brad D Fischer, MSPT
- Physical Therapist
- Hot Springs, SD
National Provider Identifier
1699740605
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 1492
- 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, 2018
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3401905 | Medicaid | MT | |
| 000061381 | Other | MT | BLUE SHIELD PROVIDER NUMB |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SD
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 1962 | MT | MD | Physical Therapist |
| 1492 | SD | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New 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.
-
- Physical Therapist
- Hot Springs, SD
- NPI 1982144093
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.