Harry Fred Brandt Jr., C.O.

Primary specialty

OrthotistTaxonomy code 222Z00000X

License

CO003610 Issued in VA

Practice address

1648 Ellis St
Bozeman, MT 59715-8810

Phone

(406) 585-1440

Fax

(406) 585-1438

NPI assigned

Jun 28, 2013

Sex

Male

Sole proprietor

No

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

Specialties & licenses 4

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1372377600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1579132800000",
    "number": "1902246382",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4029 SUNSTONE ST",
            "city": "BOZEMAN",
            "state": "MT",
            "postal_code": "597186184",
            "telephone_number": "916-849-7765"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1648 ELLIS ST",
            "city": "BOZEMAN",
            "state": "MT",
            "postal_code": "597158810",
            "telephone_number": "406-585-1440",
            "fax_number": "406-585-1438"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRANDT",
        "first_name": "HARRY",
        "middle_name": "FRED",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "C.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-06-28",
        "last_updated": "2020-01-16",
        "certification_date": "2020-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "222Z00000X",
            "taxonomy_group": "",
            "desc": "Orthotist",
            "state": "TN",
            "license": "ORT0000000131",
            "primary": false
        },
        {
            "code": "222Z00000X",
            "taxonomy_group": "",
            "desc": "Orthotist",
            "state": "MD",
            "license": "C12193",
            "primary": false
        },
        {
            "code": "222Z00000X",
            "taxonomy_group": "",
            "desc": "Orthotist",
            "state": "CA",
            "license": "CCS",
            "primary": false
        },
        {
            "code": "222Z00000X",
            "taxonomy_group": "",
            "desc": "Orthotist",
            "state": "VA",
            "license": "CO003610",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CALIFORNIA CHILDREN'S SERVICES (CCS), PANELED PROVIDER FOR ORTHOTICS",
            "identifier": "50000",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERICAN BOARD FOR CERTIFICATION IN ORTHOTICS, PROSTHETICS AND PEDORTHICS",
            "identifier": "CO003610",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BOARD OF CERTIFICATION/ACCREDITATION, INTERNATIONAL",
            "identifier": "C12193",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENCED ORTHOTIST",
            "identifier": "ORT0000000131",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Deanna Alice Brame, APRN
• Catherine Branch, MD
• Brand D Robinson DDS, PC
• Caitlin Brandl, LCPC
• Gabrielle Katerina Brandner, OTR/L
• Brandy Houser PLLC
• Hilary Brannen, APRN
• Laura M Braun, MSPT
• Alan D Brayton, PHARMD
• Lisa T Brayton, PTA

• Orthotist in Bozeman, MT
• Providers in Bozeman, MT by specialty
• Orthotist in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.