KENNETH BRANDT D.O. NPI 1073925467

Internal Medicine in Henderson, NV

Individual Male Internal Medicine PECOS Enrolled Accepts Medicare Years Experience 6

About KENNETH BRANDT

Kenneth Brandt is a provider established in Henderson, Nevada and his medical specialization is internal medicine with more than 6 years of experience. The NPI number of Kenneth Brandt is 1073925467 and was assigned on May 2014. The practitioner's primary taxonomy code is 207R00000X with license number DO2159 (NV). The provider is registered as an individual and his NPI record was last updated September 2019. Kenneth Brandt is enrolled in PECOS and is registered with Medicare and accepts claims assignment. According to Medicare claims data the provider has hospital affiliations with St Rose Dominican Hospitals - Siena Campus.

NPI

1073925467

Provider Name KENNETH BRANDT D.O.
Provider Location Address101 E LAKE MEAD PKWY STE 110 HENDERSON, NV 89015
Provider Mailing AddressPO BOX 35380 LAS VEGAS, NV 89133
GenderMale
NPI Entity TypeIndividual
Medical School NameOTHER
Graduation Year2014
Is Sole Proprietor?No
Is Organization Subpart?N/A
Enumeration Date05-20-2014
Last Update Date09-16-2019

Primary Taxonomy

Taxonomy Code207R00000X
ClassificationInternal Medicine
TypeAllopathic & Osteopathic Physicians
License No.DO2159
License StateNV
Taxonomy DescriptionA physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Business Address

KENNETH BRANDT D.O.
101 E LAKE MEAD PKWY STE 110
HENDERSON, NV
ZIP 89015
Phone: (702) 877-5199

Get Directions

Mailing Address

KENNETH BRANDT D.O.
PO BOX 35380
LAS VEGAS, NV
ZIP 89133
Phone: (702) 877-5199

Secondary Locations

270 W Lake Mead Pkwy
Henderson, NV 89015
(702) 877-5199

Medicare Participation

Registered in PECOS? Yes What is PECOS?
PECOS is the Medicare Provider, Enrollment, Chain and Ownership System. PECOS is Medicare’s enrollment and revalidation system and it is the primary source of information about verified Medicare professionals. A NPI number is necessary to register in PECOS. Providers must enroll in PECOS to avoid denied claims.
PECOS PAC ID3476879412
PECOS Enrollment IDI20170727001230
Accepts Medicare Assignment? Yes "What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.

Hospital Affiliations

Medicare hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the Medicare claims NPI number and place of service code. Additionally, to further determine provider hospital affilition the clinician must have provided services to at least three patients on three different dates in the last 12 months.

Hospital Name Address Phone Hospital Type CMS Certification Number (CCN)
ST ROSE DOMINICAN HOSPITALS - SIENA CAMPUS3001 ST ROSE PARKWAY
HENDERSON, NV 89052
(702) 616-5000Acute Care Hospitals290045

Other Providers at the same location


The following 2 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1104896281 WARREN GUINN PA
Individual
Physician Assistant (Medical)101 E LAKE MEAD PKWY STE 110
HENDERSON, NV 89015
(702) 877-5199
1215452842DAVID R. FERRELL, M.D., P.C.
Organization
Clinic/Center (Urgent Care)101 E LAKE MEAD PKWY STE 110
HENDERSON, NV 89015
(702) 565-3484

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.

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