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BRYDON THOMAS WANNER
NPI 1275267932
Specialist in Moorhead, MN

Active since July 10, 2022
1505 30TH AVE S, MOORHEAD, MN 56560(218) 287-4338 Get Directions Write a Review

NPPES record last updated: September 12, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 12, 2024, Jul 10, 2022 (2 updates tracked since 2022).

About Brydon Thomas Wanner NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BRYDON THOMAS WANNER (NPI 1275267932) is an individual specialist in Moorhead, Minnesota and active in the NPI registry since July 2022. He maintains a secondary practice location in Los Angeles.

NPPES Registry Identity

NPI1275267932
Entity TypeIndividualMale
Primary Taxonomy174400000X
Provider Legal NameBRYDON THOMAS WANNER
Location Address1505 30TH AVE SMoorhead, MN 56560-5149
Mailing Address1547 30th Ave SMoorhead, MN 56560-5149 · (218) 287-4338
Phone(218) 287-4338
Sole ProprietorYes
Enumeration DateJuly 10, 2022
Last NPPES UpdateSeptember 12, 20242 updates tracked since enumeration
NPPES CertifiedSeptember 12, 2024
✔ NPI 1275267932 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
Also ListedMarriage & Family TherapistTaxonomy 106H00000X
Also ListedRehabilitation CounselorTaxonomy 225C00000X
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
1505 30TH AVE S, Moorhead, MN 56560
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Secondary Practice Location 1

Location 11355 S Hill StLos Angeles, CA 90015-3012 · Phone (213) 389-5820

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

GRACIE SCHILLING
Specialist
1505 30TH AVE S
MOORHEAD, MN 56560
Clay County (218) 282-5299
AVERY MERSCHMAN
Specialist
1505 30TH AVE S
MOORHEAD, MN 56560
Clay County (218) 287-4338
EMILEE BEACK
Specialist
1505 30TH AVE S
MOORHEAD, MN 56560
Clay County (218) 287-4338
RYAN VANHOUSE
Specialist
1505 30TH AVE S
MOORHEAD, MN 56560
Clay County (218) 287-4338
NICHOLAS JACKSON
Specialist
1505 30TH AVE S
MOORHEAD, MN 56560
Clay County (218) 287-4338
CHRISTOPHER HANSON
Specialist
1505 30TH AVE S
MOORHEAD, MN 56560
Clay County (218) 287-4338
HODAN MOHOMED
Specialist
1505 30TH AVE S
MOORHEAD, MN 56560
Clay County (218) 287-4338
TETA DOE
Specialist
1505 30TH AVE S
MOORHEAD, MN 56560
Clay County (218) 287-4338

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Brydon Wanner's NPI number?

The NPI number for Brydon Wanner is 1275267932. It was assigned to this individual provider in the NPPES registry on July 10, 2022.

Where is Brydon Wanner located?

Brydon Wanner practices at 1505 30th Ave S, Moorhead, MN 56560. The listed phone number is (218) 287-4338.

What is Brydon Wanner's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Brydon Wanner was last updated on September 12, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.