Brant Ridder

Physician Assistant · Fremont, NE

Individual Active NPI

NPI number 1295469336

Practice location

410 E 22ND St Ste 1
Fremont, NE 68025-2640
Phone
(402) 719-7152

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NPI record

NPI
1295469336
Entity type
Individual (Type 1)
Enumeration date
July 14, 2022
Last updated
October 30, 2025
Certified
October 30, 2025
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Physician Assistant Primary 363A00000X 3044 NE

About Brant Ridder

Brant Ridder is a healthcare provider registered in the NPI registry with the primary taxonomy Physician Assistant (code 363A00000X). The practice location is 410 E 22ND St Ste 1, Fremont, NE 68025-2640. The NPI number 1295469336 was assigned on July 14, 2022 and the record was last updated on October 30, 2025.

Brant Ridder lists a license in the registry: #3044 (NE) for Physician Assistant. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Brant Ridder?

The NPI number is 1295469336.

What is the phone number of Brant Ridder?

The phone number listed for the practice location is (402) 719-7152.

Where is Brant Ridder located?

410 E 22ND St Ste 1, Fremont, NE 68025-2640.

What is the taxonomy code for Brant Ridder?

The primary taxonomy code is 363A00000X – Physician Assistant.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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