Brandon Haugrud
Individual provider Active NPI Student in an Organized Health Care Education/Training Program · Grand Forks, ND
NPI 1750130480 · NPPES record last updated May 15, 2024
Key facts
- NPI
- 1750130480
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Student in an Organized Health Care Education/Training Program 390200000X
- Practice address
- 725 Hamline St
Grand Forks, ND 58203-2819 - Phone
- (701) 780-6810
- NPI assigned
- May 15, 2024
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in ND
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240711000970 | ND | Order and Referring Only - Family Practice |
4789129016 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | Yes |
Addresses
Primary practice location
725 Hamline St
Grand Forks, ND 58203-2819
Mailing address
725 Hamline St
Grand Forks, ND 58203-2819
Other providers in Grand Forks, ND
- Stephanie Marie Hauge
- Brenda M Haugen
- Erin Nicole Jackson Haugen
- Jennifer Marie Haugen
- Jessica Haugen
- Amanda Havelange
- Courtney Haviland
- Isabelle Hawkins
- Jennifer Hayes
- Kirk Jacquine Hayes
All providers in Grand Forks, ND · Student in an Organized Health Care Education/Training Program in North Dakota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 15, 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).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.