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BRIAN PAT CONNELLY
NPI 1619743697
Speech-Language Pathologist in Fargo, ND

Active since November 30, 2023
3523 45TH ST S STE 136, FARGO, ND 58104(701) 347-1782(701) 404-8274 Get Directions Write a Review

NPPES record last updated: November 30, 2023. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Brian Pat Connelly NPPES

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

BRIAN PAT CONNELLY (NPI 1619743697) is an individual speech-language pathologist provider in Fargo, North Dakota, licensed in North Dakota (2530) and active in the NPI registry since November 2023. He is a graduate of Other (2023).

NPPES Registry Identity

NPI1619743697
Entity TypeIndividualMale
Primary Taxonomy235Z00000X
Provider Legal NameBRIAN PAT CONNELLY
Location Address3523 45TH ST S STE 136Fargo, ND 58104-8962
Mailing Address2858 Rivers Bend Dr EWest Fargo, ND 58078-8509 · (701) 866-9934 · Fax (701) 404-8274
Phone(701) 347-1782
Fax(701) 404-8274
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateNovember 30, 2023
NPPES CertifiedNovember 30, 2023
✔ NPI 1619743697 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpeech-Language PathologistSpeech, Language and Hearing Service Providers
Taxonomy Code235Z00000X
License✔ Licensed in ND · 2530
Definition
The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing.
3523 45TH ST S STE 136, Fargo, ND 58104
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of North Dakota, Medica, Sanford Health Plan.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Brian Pat Connelly is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID5890131619
PECOS Enrollment IDI20240314001821

Medicare Billing Reassignment

Medicare enrollment records show Brian Connelly reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Myna Therapy Services PLLC
1.3 mi
Multi-Specialty
4575 23RD AVE S STE 500
Fargo, ND 58104
  • Reassigned Medicare billing, North Dakota enrollment
  • 35 clinicians in this Medicare group
NPI 1427788629 (701) 347-1782

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 2

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

SUZANNAH LE SLP
Speech-Language Pathologist
3523 45TH ST S STE 136
FARGO, ND 58104
Cass County (701) 347-1782
GRACE ANNE FAIMAN DPT
Physical Therapist
3523 45TH ST S STE 136
FARGO, ND 58104
Cass County (701) 347-1782

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 Brian Connelly's NPI number?

The NPI number for Brian Connelly is 1619743697. It was assigned to this individual provider in the NPPES registry on November 30, 2023.

Where is Brian Connelly located?

Brian Connelly practices at 3523 45th St S Ste 136, Fargo, ND 58104. The listed phone number is (701) 347-1782.

What is Brian Connelly's specialty?

The primary specialty registered for this NPI is Speech-Language Pathologist with taxonomy code 235Z00000X.

Is Brian Connelly enrolled in Medicare?

Yes. Brian Connelly is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Brian Connelly's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Brian Connelly reassigns Medicare benefits to Myna Therapy Services PLLC (Fargo, ND). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Brian Connelly's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Brian Connelly accept?

Health plans from Blue Cross Blue Shield of North Dakota, Medica and Sanford Health Plan list Brian Connelly 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 Brian Connelly was last updated on November 30, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.