Brydon Wanner
NPI 1275267932 · Specialist · Moorhead, MN
Brydon Wanner is a Specialist provider in Moorhead, MN (NPI 1275267932).
Provider details
- NPI number
- 1275267932
- Entity type
- Individual
- Primary specialty
- SpecialistOther Service Providers
- Sex
- Male
- Sole proprietor
- Yes
Specialties & taxonomies
Other Service Providers
- Marriage & Family Therapist106H00000X
Behavioral Health & Social Service Providers
- Rehabilitation Counselor225C00000X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Student, Health Care
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 yrs in NPPES registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Additional practice locations (1)
- 1355 S Hill StLos Angeles, CA 90015-3012Phone: (213) 389-5820
Registry dates
- Enumerated
- 2022-07-10
- Last updated
- 2024-09-12
- Certified
- 2024-09-12
Frequently asked questions
- What is Brydon Wanner's NPI number?
- Brydon Wanner's National Provider Identifier (NPI) is 1275267932, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Brydon Wanner's specialty?
- Brydon Wanner is listed in the NPPES registry with a primary specialty of Specialist (Other Service Providers).
- Where is Brydon Wanner located?
- Brydon Wanner's practice location on file with NPPES is 1505 30th Ave S, Moorhead, MN 56560-5149.
- What is Brydon Wanner's phone number?
- The practice phone number listed in the NPPES registry for Brydon Wanner is (218) 287-4338.
- Is Brydon Wanner's NPI active?
- Yes — Brydon Wanner's NPI (1275267932) is active in the NPPES registry as of the last update on 2024-09-12.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.