Individual
MR. HARRY FRED BRANDT JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
C.O.
Contact information
Practice address
1648 ELLIS ST, BOZEMAN, MT 59715-8810
(406) 585-1440
(406) 585-1438
Mailing address
4029 SUNSTONE ST, BOZEMAN, MT 59718-6184
(916) 849-7765
Taxonomy
Speciality
Code
Description
License number
State
222Z00000X
Orthotist
C12193
MD
222Z00000X
Orthotist
CCS
CA
222Z00000X
Orthotist
Primary
CO003610
VA
222Z00000X
Orthotist
ORT0000000131
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
50000
CALIFORNIA CHILDREN'S SERVICES (CCS), PANELED PROVIDER FOR ORTHOTICS
CA
01
—
C12193
BOARD OF CERTIFICATION/ACCREDITATION, INTERNATIONAL
MD
01
—
CO003610
AMERICAN BOARD FOR CERTIFICATION IN ORTHOTICS, PROSTHETICS AND PEDORTHICS
VA
01
—
ORT0000000131
LICENCED ORTHOTIST
TN
Enumeration date
06/28/2013
Last updated
01/16/2020
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us