Healthcare Provider Details

I. General information

NPI: 1164155727
Provider Name (Legal Business Name): CAITLIN NOEL BRANDT MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/01/2022
Last Update Date: 06/24/2025
Certification Date: 06/24/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 HOSPITAL DR # DC043
COLUMBIA MO
65212-1000
US

IV. Provider business mailing address

UW HOSPITALS & CLINICS 600 HIGHLAND AVE
MADISON WI
53792-0001
US

V. Phone/Fax

Practice location:
  • Phone: 573-884-1606
  • Fax: 573-884-4533
Mailing address:
  • Phone: 608-263-6400
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RE0101X
TaxonomyEndocrinology, Diabetes & Metabolism Physician
License Number8601120
License Number StateWI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: