Brandon C Speidel, M.D.

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

13566 Issued in ND

Practice address

1200 S Columbia Rd - Altru Hospital
Grand Forks, ND 58201

Phone

(701) 780-5246

Fax

(402) 559-1011

NPI assigned

Jun 25, 2009

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in ND, MN2 enrollments

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 2

Specialty

Diagnostic Radiology

Education

University of North Dakota School of Medicine, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Altru Health SystemGroup PAC ID 1355251604, shared by 14 NPIs, 675 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Altru Hospital Hospital, Grand Forks, ND, CCN 350019
• Heart of America Medical Center Hospital, Rugby, ND, CCN 351332
• Unity Medical Center Hospital, Grafton, ND, CCN 351320
• Northwood Deaconess Health Center Hospital, Northwood, ND, CCN 351312
• Cavalier County Memorial Hospital Association Hospital, Langdon, ND, CCN 351323

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Altru Health System

  • Clinic/Center
  • Grand Forks, ND
  • NPI 1043309552
  Medicare reassignment NPD
• Cavalier County Memorial Hospital Association

  • Critical Access Hospital
  • Langdon, ND
  • NPI 1750328662
  Medicare reassignment NPD
• Cooperstown Medical Center

  • Rural Health Clinic/Center
  • Cooperstown, ND
  • NPI 1962548214
  Medicare reassignment NPD
• P R Health Corporation

  • Critical Access Hospital
  • Park River, ND
  • NPI 1679669741
  Medicare reassignment NPD
• Altru Health System

  • Clinic/Center
  • Crookston, MN
  • NPI 1760494330
  Medicare reassignment NPD
• Altru Health System

  • Ambulance
  • Grand Forks, ND
  • NPI 1114485315
  NPD
• Cavalier County Memorial Hospital Association

  • Clinic/Center
  • Langdon, ND
  • NPI 1336201433
  NPD
• Cooperstown Medical Center

  • Rural Health Clinic/Center
  • New Rockford, ND
  • NPI 1992459721
  NPD
• P R Health Corporation

  • Rural Health Clinic/Center
  • Park River, ND
  • NPI 1306850706
  NPD
• Altru Health System

  • Rural Health Clinic/Center
  • Greenbush, MN
  • NPI 1962591438
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Altru Health System

  • General Acute Care Hospital
  • Grand Forks, ND
  • NPI 1154346161
  Care Compare affiliation
• Cavalier County Memorial Hospital Association

  • Critical Access Hospital
  • Langdon, ND
  • NPI 1750328662
  Care Compare affiliation
• Christian Unity Hospital Corporation

  • Critical Access Hospital
  • Grafton, ND
  • NPI 1245216852
  Care Compare affiliation
• Good Samaritan Hospital Association

  • Critical Access Hospital
  • Rugby, ND
  • NPI 1437258969
  Care Compare affiliation
• Northwood Deaconess Health Center

  • Critical Access Hospital
  • Northwood, ND
  • NPI 1356449136
  Care Compare affiliation

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

{
    "created_epoch": "1245888000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1551398400000",
    "number": "1699903930",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2401 DEMERS AVE",
            "city": "GRAND FORKS",
            "state": "ND",
            "postal_code": "58201",
            "telephone_number": "701-780-1891",
            "fax_number": "402-559-1011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 S COLUMBIA RD - ALTRU HOSPITAL",
            "city": "GRAND FORKS",
            "state": "ND",
            "postal_code": "58201",
            "telephone_number": "701-780-5246",
            "fax_number": "402-559-1011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPEIDEL",
        "first_name": "BRANDON",
        "middle_name": "C",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-06-25",
        "last_updated": "2019-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MN",
            "license": "59265",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "ND",
            "license": "13566",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jalissa Ann Spanier
• Traci Specht
• Spectra Health
• Spectra Health
• Spectra Health
• James K Sperle, CRNA
• Roni Lynn Sperle, FNP-C
• Brittany Elizabeth Spicer
• Kimberly K Spicer
• Kora J Spicer, SLP

• Diagnostic Radiology Physician in Grand Forks, ND
• Providers in Grand Forks, ND by specialty
• Diagnostic Radiology Physician in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.