Jeremy Forrest Brudevold, D.O.
NPI 1699094748ActiveIndividual· Emergency Medicine· Fargo, ND
Emergency Medicine (D.O.) in Fargo, North Dakota, licensed in ND, with an NPI issued in May 2010. 394 Medicare patients in 2024, $49,141 paid; nearly all of their 181 Part D prescriptions were generic (97%).
Overview
| NPI | 1699094748 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | D.O. |
| Sole proprietor | No |
| NPI issued | May 27, 2010 |
| Last updated in NPPES | Sep 4, 2024 |
| Certified by provider | Sep 4, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Emergency Medicine Primary | 207P00000X | 12740 | ND |
| Student in an Organized Health Care Education/Training Program | 390200000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Emergency Medicine (ND) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 394 |
|---|---|
| Services billed | 457 across 25 procedure codes |
| Paid by Medicare | $49,141 |
Part D prescriptions in 2024
| Prescriptions (claims) | 181 · 184 30-day fills |
|---|---|
| Patients | 122 |
| Total drug cost | $1,075 |
| Generic share | 97% of claims |
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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