MR. HARRY FRED BRANDT JR. (NPI# 1902246382) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1902246382 |
Entity Type | Individual |
Full Name | MR. HARRY FRED BRANDT JR. |
Credential | C.O. |
Practice Address |
1648 Ellis St Bozeman MT 59715-8810 |
Mailing Address |
4029 Sunstone St Bozeman MT 59718-6184 |
Practice Telephone | 4065851440 |
Practice Fax Number | 4065851438 |
Mailing Telephone | 9168497765 |
Enumeration Date | 2013-06-28 |
Last Update Date | 2020-01-16 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 222Z00000X | Orthotist | CCS | CA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Y | 222Z00000X | Orthotist | CO003610 | VA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
N | 222Z00000X | Orthotist | C12193 | MD | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
N | 222Z00000X | Orthotist | ORT0000000131 | TN | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MD | BOARD OF CERTIFICATION/ACCREDITATION, INTERNATIONAL | C12193 | 01 |
TN | LICENCED ORTHOTIST | ORT0000000131 | 01 |
CA | CALIFORNIA CHILDREN'S SERVICES (CCS), PANELED PROVIDER FOR ORTHO | 50000 | 01 |
VA | AMERICAN BOARD FOR CERTIFICATION IN ORTHOTICS, PROSTHETICS AND P | CO003610 | 01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1891720181 | Harry A Brandt | Psychiatry & Neurology | 6535 N Charles St, Suite 300, Baltimore, MD 21204-5826 | 2006-07-12 |
Street Address |
1648 ELLIS ST |
City | BOZEMAN |
State | MT |
Zip Code | 59715-8810 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1164463642 | Marla Ann Davis | Physical Therapist | 1648 Ellis St, Bozeman, MT 59715-8811 | 2006-06-08 |
1275894701 | Scott E. Lawson Dds | Dentist | 1648 Ellis St, Suite 202, Bozeman, MT 59715-8810 | 2012-05-31 |
1861660524 | Jessica Stone | Psychiatry & Neurology | 1648 Ellis St, Suite 302, Bozeman, MT 59715-8810 | 2008-02-15 |
1083896757 | Michele C. Mckinnie, Psy.d., PC | Psychologist | 1648 Ellis St, Suite 302, Bozeman, MT 59715-8810 | 2007-12-04 |
1952420259 | Deborah Lenore Hapcic | Physical Therapist | 1648 Ellis St, Suite 101, Bozeman, MT 59715-8810 | 2007-03-28 |
1316089451 | Rocky Mountain Neuropsychology Pllc | Clinical Neuropsychologist | 1648 Ellis St, #302, Bozeman, MT 59715-8810 | 2007-02-13 |
1629122544 | William Bernard Ryan | Psychologist | 1648 Ellis St, Suite 302, Bozeman, MT 59715 | 2007-01-22 |
1902969983 | Michele Catherine Mckinnie | Psychologist | 1648 Ellis St, Suite 302, Bozeman, MT 59715-8810 | 2006-12-19 |
1427110600 | Jeffrey Michael Cory | Clinical Neuropsychologist | 1648 Ellis St, Suite 302, Bozeman, MT 59715-8810 | 2006-12-14 |
1407878549 | Bridger Ear, Nose and Throat Pllc | Specialist | 1648 Ellis St, Suite 301, Bozeman, MT 59715-8810 | 2006-07-25 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1477152288 | Ch Mh Services (il), LLC | Clinic/Center | 233 E Main St Suite 401, Bozeman, MT 59715 | 2020-10-22 |
1134735269 | Montana Therapy and Consulting Pllc | Social Worker | 110 S Grand Ave, Floor 2, Bozeman, MT 59715 | 2020-09-23 |
1831715994 | Alyson Raph | Student in an Organized Health Care Education/Training Program | 1 Anna Pearl Sherrick Hal, Bozeman, MT 59715 | 2020-06-24 |
1639702780 | Miranda Shields | Massage Therapist | 1001 W. Oak St. Bldg C Ste 210, Bozeman, MT 59715 | 2020-02-18 |
1154988590 | Christina Yancy | Massage Therapist | Bldg C, Ste 210, 1001 W Oak St, Bozeman, MT 59715 | 2019-05-21 |
1962068767 | Julie A Hisey | Physical Therapist | 1700 W. Koch, Suite 12, Bozeman, MT 59715 | 2019-05-16 |
1639631633 | Joshua Wallace | Massage Therapist | 1001 W Oak St, Bldg. C Ste. 210, Bozeman, MT 59715 | 2019-04-01 |
1528523388 | Judith Margaret Firehammer | Psychologist | 37 East Main St, Suite 7, Bozeman, MT 59715 | 2019-02-06 |
1194280875 | Erica Kotick | Counselor | 2246 Boot Hill Court, Suite 4, Bozeman, MT 59715 | 2019-02-06 |
1194291609 | Providence Mental Health Pllc | Social Worker | 2246 Boot Hill Ct. Unit #4, Bozeman, MT 59715 | 2018-10-23 |
Find all providers in zip 59715 |
Taxonomy Code | 222Z00000X |
Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Classification | Orthotist |
A health care professional who is specifically educated and trained to manage comprehensive orthotic patient care, including musculoskeletal and neuromuscular anomalies resulting from injuries or disease processes involving the lower extremity, upper extremity or spinal segment/s and positional deformation of the cranium. Orthotists assess specific patient needs, formulate an appropriate treatment plan, implement the treatment plan and provide follow-up care. |
Notes: Source: American Board for Certification in Orthotics, Prosthetics, and Pedorthics, Inc. [7/1/2010: modified, 7/1/2013: modified] Additional Resources: American Board for Certification in Orthotics, Prosthetics and Pedorthics, Inc., www.abcop.org and Board of Certification/Accreditation, International, www.bocusa.org. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1841521614 | Jordan W North | Orthotist | 1648 Ellis St Ste 102, Bozeman, MT 59715 | 2010-01-19 |
1134145139 | Treasure State Orthotic &prosthetic Clinic, Inc | Orthotist | 1648 Ellis St, Suite 102, Bozeman, MT 59715-8810 | 2006-07-14 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1174814404 | Randy Rosenquist | Orthotist | 2145 South Ave W, Missoula, MT 59801-6503 | 2011-04-20 |
1598838484 | Bryant Lee Gulde | Orthotist | 1020 S 24th St W, Billings, MT 59102-6406 | 2006-11-16 |
1417035619 | John Paul Reinholz Sr. | Orthotist | 100 Dannenburg Rd, Reinholz Custom Footwear, Molt, MT 59057-2244 | 2006-11-02 |
1396700027 | John Sherman Roberts | Orthotist | 2121 Euclid Ave, Helena, MT 59601-1507 | 2006-04-18 |
1811952542 | Linda Sue Roberts | Orthotist | 2121 Euclid Ave, Helena, MT 59601-1507 | 2006-04-18 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.