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DR. JEREMY FORREST BRUDEVOLD D.O.
NPI 1699094748
Emergency Medicine in Fargo, ND

Active since May 27, 2010PECOS Enrolled
82.99/100
CMS Quality Rating
801 BROADWAY N, FARGO, ND 58102(701) 234-5121 Get Directions Write a Review

NPPES record last updated: September 4, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Sep 4, 2024, Apr 4, 2022, Feb 14, 2021 (3 updates tracked since 2021).

About Dr. Jeremy Forrest Brudevold D.o. NPPES

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

DR. JEREMY FORREST BRUDEVOLD D.O. (NPI 1699094748) is an individual emergency medicine provider in Fargo, North Dakota, licensed in North Dakota (12740) and active in the NPI registry since May 2010. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1699094748
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameDR. JEREMY FORREST BRUDEVOLDCredential: D.O.
Location Address801 BROADWAY NFargo, ND 58102-3641
Mailing AddressPo Box 5074Sioux Falls, SD 57117-5074
Phone(701) 234-5121
Sole ProprietorNo
Enumeration DateMay 27, 2010
Last NPPES UpdateSeptember 4, 20243 updates tracked since enumeration
NPPES CertifiedSeptember 4, 2024
✔ NPI 1699094748 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License✔ Licensed in ND · 12740
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
801 BROADWAY N, Fargo, ND 58102
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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, 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)

Dr. Jeremy Forrest Brudevold D.o. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Billing Reassignment

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

Sanford Medical Center Fargo
2.7 mi
Occupational Medicine
3838 12TH AVE N
Fargo, ND 58102
  • Reassigned Medicare billing, North Dakota enrollment
  • 1,464 clinicians in this Medicare group
NPI 1952323974 (701) 234-4700

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

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
250 services243 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
109 services103 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
38 services37 patients
Emergency department visit with low level of medical decision making 99283
An emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.
19 services16 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 58102 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$85.71 typical visit price
range $55.75 – $168.12
Typical copayment $21.42 (range $13.93 – $42.03)
Most-billed visit code 99203
Established Patient
$98.29 typical visit price
range $18.11 – $137.65
Typical copayment $24.57 (range $4.52 – $34.41)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

82.99/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality87.06
Promoting Interoperability99
Improvement Activities40
Cost57.08

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.

SARAH HOEPFNER
Speech-Language Pathologist
801 BROADWAY N
FARGO, ND 58102
Cass County (701) 234-6970
JULIE HONEYMAN CRNA
Nurse Anesthetist, Certified Registered
801 BROADWAY N
FARGO, ND 58102
Cass County (701) 234-6355
SANFORD MEDICAL CENTER FARGO
Hospice Care, Community Based
801 BROADWAY N
FARGO, ND 58102
Cass County (701) 234-5264
DOUGLAS J HUSHKA MD
Family Medicine
801 BROADWAY N
FARGO, ND 58102
Cass County (701) 234-6552
PAUL JAMES CARSON MD
Internal Medicine (Infectious Disease)
801 BROADWAY N
FARGO, ND 58102
Cass County (701) 234-4811
DR. EMUEJEVOKE JOSEPH OKOH M.D.
Internal Medicine (Gastroenterology)
801 BROADWAY N
FARGO, ND 58102
Cass County (701) 234-2000
WALDEMAR G STORM MD
Pediatrics
801 BROADWAY N
FARGO, ND 58102
Cass County (701) 234-2261
GREGORY J BJERKE MD
Internal Medicine
801 BROADWAY N
FARGO, ND 58102
Cass County (701) 234-5123

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 Jeremy Brudevold's NPI number?

The NPI number for Jeremy Brudevold is 1699094748. It was assigned to this individual provider in the NPPES registry on May 27, 2010.

Where is Jeremy Brudevold located?

Jeremy Brudevold practices at 801 Broadway N, Fargo, ND 58102. The listed phone number is (701) 234-5121.

What is Jeremy Brudevold's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Jeremy Brudevold enrolled in Medicare?

Yes. Jeremy Brudevold is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Jeremy Brudevold's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jeremy Brudevold reassigns Medicare benefits to Sanford Medical Center Fargo (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 Jeremy Brudevold's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jeremy Brudevold accept?

Health plans from Blue Cross Blue Shield of North Dakota and Sanford Health Plan list Jeremy Brudevold 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 Jeremy Brudevold was last updated on September 4, 2024. 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.