Provider Demographics
NPI:1891806923
Name:HECK, BRANDON GERHARDT (DC)
Entity type:Individual
Prefix:DR
First Name:BRANDON
Middle Name:GERHARDT
Last Name:HECK
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 357
Mailing Address - Street 2:
Mailing Address - City:ISABEL
Mailing Address - State:SD
Mailing Address - Zip Code:57633-0357
Mailing Address - Country:US
Mailing Address - Phone:605-466-2050
Mailing Address - Fax:605-466-2051
Practice Address - Street 1:403 NORTH MAIN STREET
Practice Address - Street 2:
Practice Address - City:ISABEL
Practice Address - State:SD
Practice Address - Zip Code:57633-0357
Practice Address - Country:US
Practice Address - Phone:605-466-2050
Practice Address - Fax:605-466-2051
Is Sole Proprietor?:No
Enumeration Date:2006-08-31
Last Update Date:2025-05-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SD1000111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
SD7601652Medicaid
SD102304Medicare Oscar/Certification