Brydon Thomas Wanner
Specialist β’ Moorhead, MN
1505 30th Ave S
Moorhead, MN 565605149
This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.
Practice Location & Contact Primary Location
1505 30th Ave S
Moorhead, MN 565605149
Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.
NPPES lists 1 additional practice-address record in Los Angeles, CA. See the list
Source: CMS NPPES NPI Registry, practice location records; release date unavailable.
Listings do not confirm current availability, employment or a shared ownership network.
What Public CMS Data Show
Specialist: NPPES taxonomy is a reported classification, not proof of board certification.
NPI first issued
2022
The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.
What this does not show: NPI first issued
NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.
Source: CMS NPPES NPI Registry.
Medicare assignment not listed
CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.
Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.
Source: CMS Doctors and Clinicians; Medicare.gov, βDoes your provider accept Medicare as full payment?β
No telehealth indicator
CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.
Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.
Compared with the same specialty in Moorhead and Minnesota
206 active clinicians are listed under Specialist with a practice address in Moorhead, MN (857 in Minnesota).
Addresses are self-reported to NPPES and may be out of date.
Telehealth indicator in Moorhead
0% of these 206 clinicians have the CMS telehealth indicator.
0% of these 206 clinicians are listed by CMS as accepting Medicare assignment.
Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.
Text: T-MedInfo Β· Report an error.
Specialties & License Numbers Reported to NPPES
Self-certified to NPPES: 2024-09-12NUCC Taxonomy Code: 174400000X
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.
NUCC Taxonomy Code: 106H00000X
A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.
NUCC Taxonomy Code: 225C00000X
An individual trained and educated in a systematic process of assisting persons with physical, mental, developmental, cognitive, and emotional disabilities to achieve their personal, career, and independent living goals assessment and appraisal, diagnosis and treatment planning, career (vocational) counseling, individual and group counseling interventions for adjustments to the medical and psychosocial impact of disability, case management, program evaluation and research, job analysis and placement counseling, and consultation on rehabilitation resources and technology. Certification generally requires a Master's degree with specialized courses in rehabilitation processes and technology.
NUCC Taxonomy Code: 390200000X
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
Secondary Practice Locations
1355 S Hill St
Los Angeles, CA 900153012
Phone: 2133895820
Clinicians Sharing This Practice Address or Phone
Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.
Psychologist
Master of Education
Career & Practice History Timeline
Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status
Registered at 1505 30TH AVE S, MOORHEAD, MN 565605149 (Tel: 2182874338)
Registered at 1547 30TH AVE S, MOORHEAD, MN 565605149 (Tel: 2182874338)
Additional practice office at 1355 S Hill St, Los Angeles, CA 900153012
NPI status registered as active in NPPES database
Registered at 1355 S HILL ST, LOS ANGELES, CA 900153012 (Tel: 2133895820)
Registered at 1355 S HILL ST, LOS ANGELES, CA 900153012 (Tel: 2133895820)
Recorded as BRYDON WANNER
Marriage & Family Therapist
First registered as active Individual Practitioner in NPPES Database.
NPI Administrative Meta
Mailing Address
1547 30th Ave S
Moorhead, MN 565605149
Phone: 2182874338