Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Brandon Tackett

Individual provider Family Medicine Physician · NPI 1538506613

Brandon Tackett is a Family Practice in Atchison, Kansas. Graduated from University of Kansas School of Med (KC/WICH/SAL) in 2013, 13 years ago. Practices with Select Rehabilitation, LLC, a 2,028-clinician group, works from 6 locations and accepts Medicare assignment. Licensed in Kansas.

Years since qualifying
13
Trained at
University of Kansas School of Med (KC/WICH/SAL)
Licensed in
KS
In the registry since
2013
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Practice location Address checks out

800 Ravenhill Dr Ste 100&107
Atchison, KS 66002-9204
Phone: (913) 367-7300
Fax: (913) 674-2030
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (5)

  • 801 Atchison St, Atchison, KS 66002-2352 — (913) 367-5020
  • 300 Utah St, Hiawatha, KS 66434-2326 — (785) 742-2131
  • 1903 Euclid Ave, Horton, KS 66439-1238 — (785) 486-2468
  • 1004 Progress Dr Ste 180&145, Lansing, KS 66043-6326 — (913) 297-3215
  • 311 W Locust St, Troy, KS 66087-5252 — (785) 985-3504

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 04-37700 (KS)

Record details

NPI number1538506613
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMay 29, 2013
Last updated in NPPESMarch 20, 2026
Certification dateMarch 20, 2026
Mailing address800 Ravenhill Dr, Atchison, KS 66002-9204

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolUNIVERSITY OF KANSAS SCHOOL OF MED (KC/WICH/SAL)
Graduated 2013 (13 years in practice)
Group practice Select Rehabilitation, Llc — 2028 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Atchison