| Rylan James Brantl, MD | |
|
709 4th Ave Ne, Watford, ND 58854-7628 | |
| (701) 842-3000 | |
| (701) 842-6248 |
| Full Name | Rylan James Brantl |
|---|---|
| Gender | Male |
| Speciality | Family Medicine |
| Location | 709 4th Ave Ne, Watford, North Dakota |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013178326 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 13072 (North Dakota) | Primary |
| Entity Name | Mercy Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1801928593 PECOS PAC ID: 7416851381 Enrollment ID: O20031230000336 |
| Entity Name | Mercy Hospital of Valley City |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1477549111 PECOS PAC ID: 8729997564 Enrollment ID: O20040701000086 |
| Entity Name | Mckenzie County Healthcare Systems Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1396516506 PECOS PAC ID: 5890768006 Enrollment ID: O20040817000016 |
| Entity Name | Lisbon Area Health Services |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1811168958 PECOS PAC ID: 4486562873 Enrollment ID: O20041008000975 |
| Entity Name | Mckenzie County Healthcare Systems Inc |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1518988948 PECOS PAC ID: 5890768006 Enrollment ID: O20061104000557 |
| Mailing Address | Practice Location Address |
|---|---|
| Rylan James Brantl, MD 709 4th Ave Ne, Watford, ND 58854-7628 Ph: (701) 842-3000 | Rylan James Brantl, MD 709 4th Ave Ne, Watford, ND 58854-7628 Ph: (701) 842-3000 |