Healthcare Provider Details

I. General information

NPI: 1366375529
Provider Name (Legal Business Name): JOSHUA CLAYTON BRANDT APRN
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/06/2026
Last Update Date: 06/06/2026
Certification Date: 06/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

612 E 3RD AVE
WINFIELD KS
67156-2206
US

IV. Provider business mailing address

612 E 3RD AVE
WINFIELD KS
67156-2206
US

V. Phone/Fax

Practice location:
  • Phone: 316-214-4989
  • Fax:
Mailing address:
  • Phone: 316-214-4989
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number53-85631-071
License Number StateKS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: