BRENDAN BRODERSEN DO
NPI 1518488501
Psychiatry & Neurology - Child & Adolescent Psychiatry in Sioux Falls, SD

Active since June 29, 2017PECOS EnrolledAccepts Medicare Assignment
92.39/100
CMS Quality Rating
4400 W 69TH ST STE 500, SIOUX FALLS, SD 57108(605) 322-5700(605) 322-5704 Get Directions Write a Review

NPPES record last updated: April 2, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Apr 2, 2026, Jul 28, 2022, Jul 21, 2022 and 1 more (4 updates tracked since 2017).

About Brendan Brodersen Do NPPES

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

BRENDAN BRODERSEN DO (NPI 1518488501) is an individual child & adolescent psychiatry provider in Sioux Falls, South Dakota, licensed in South Dakota (18076) and active in the NPI registry since June 2017. He is enrolled in Medicare PECOS, maintains a secondary practice location in Lincoln, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1518488501
Entity TypeIndividualMale
Primary Taxonomy2084P0804X
Provider Legal NameBRENDAN BRODERSENCredential: DO
Location Address4400 W 69TH ST STE 500Sioux Falls, SD 57108-8171
Mailing Address4400 W 69th St Ste 500Sioux Falls, SD 57108-8171 · (605) 322-5700 · Fax (605) 322-5704
Fax(605) 322-5704
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateJune 29, 2017
Last NPPES UpdateApril 2, 20264 updates tracked since enumeration
NPPES CertifiedApril 2, 2026
NPI 1518488501 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPsychiatry & Neurology · Child & Adolescent PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0804X
Licenses Licensed in SD · 18076 Licensed in NE · 2668
Definition

Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence.

Also ListedPsychiatry & Neurology · PsychiatryTaxonomy 2084P0800X · License 2668 (NE), 18076 (SD)
4400 W 69TH ST STE 500, Sioux Falls, SD 57108

Secondary Practice Location 1

Location 12221 S 17th St Ste 310Lincoln, NE 68502-3700 · Phone (402) 483-8555 · Fax (402) 483-8554

Other Identifiers 1

Medicaid470553011-00NE

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Brendan Brodersen Do is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4183990633
PECOS Enrollment IDI20220826001338
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

92.39/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality84.79
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES

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

Psychiatry & Neurology (Psychiatry)
4400 W 69TH ST STE 500
SIOUX FALLS, SD 57108

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 Brendan Brodersen's NPI number?

The NPI number for Brendan Brodersen is 1518488501. It was assigned to this individual provider in the NPPES registry on June 29, 2017.

Where is Brendan Brodersen located?

Brendan Brodersen practices at 4400 W 69th St Ste 500, Sioux Falls, SD 57108. The listed phone number is (605) 322-5700.

What is Brendan Brodersen's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Child & Adolescent Psychiatry, with taxonomy code 2084P0804X.

Is Brendan Brodersen enrolled in Medicare?

Yes. Brendan Brodersen is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Brendan Brodersen accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health, Ambetter from Sunflower Health Plan and Blue Cross and Blue Shield of Nebraska and 3 other insurers list Brendan Brodersen as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Brendan Brodersen was last updated on April 2, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.