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

Brent Wiederholt, NP-C

Individual provider Emergency Registered Nurse · NPI 1588825723

Brent Wiederholt, NP-C is a Nurse Practitioner in Fort Yates, North Dakota. Qualified in 2015, 11 years ago. Accepts Medicare assignment. Licensed in South Dakota.

Years since qualifying
11
Licensed in
SD
In the registry since
2008
Specialties on file
2
What do these letters mean?
NP-C — Nurse Practitioner, Certified
A nurse practitioner certified by the AANP.

See every abbreviation used in this directory →

Practice location Address checks out

N10 N River Rd
Fort Yates, ND 58538
Phone: (701) 854-3831
Show map & directions

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

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence SD-CNP CP000967 (SD)
Emergency Registered Nurse Taxonomy 163WE0003X · Licence R033677 (SD)

Record details

NPI number1588825723
Entity typeIndividual (Type 1)
GenderMale
Credentials NP-C
Sole proprietorNo
NPI enumeratedJune 20, 2008
Last updated in NPPESJuly 23, 2015

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Fort Yates