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

Brant Ridder

Individual provider Physician Assistant · NPI 1295469336

Brant Ridder is a Physician Assistant in Fremont, Nebraska. Qualified in 2023, 3 years ago. Practices with MD West One PC, a 85-clinician group and accepts Medicare assignment. Licensed in Nebraska.

Years since qualifying
3
Licensed in
NE
In the registry since
2022

Practice location Address checks out

410 E 22nd St Ste 1
Fremont, NE 68025-2640
Phone: (402) 719-7152
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 3044 (NE)

Record details

NPI number1295469336
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJuly 14, 2022
Last updated in NPPESOctober 30, 2025
Certification dateOctober 30, 2025
Mailing address410 E 22nd St Ste 1, Fremont, NE 68025-2640

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Md West One Pc — 85 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

Other providers in Fremont