Alexander L. Brech, MD
NPI 1902465784ActiveIndividual· Emergency Medicine· Rapid City, SD
Emergency Medicine (MD) with Rapid City Emergency Services PA, practicing in Rapid City, South Dakota. 878 Medicare patients in 2024, $111,786 paid; nearly all of their 86 Part D prescriptions were generic (94%). Lists Fall River Hospital - Cah and 1 other hospital as hospital affiliations.
Overview
| NPI | 1902465784 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | MD |
| Sole proprietor | No |
| NPI issued | Jun 6, 2019 |
| Last updated in NPPES | Jul 12, 2022 |
| Certified by provider | Jul 12, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Emergency Medicine Primary | 207P00000X | 13583 | SD |
| Student in an Organized Health Care Education/Training Program | 390200000X | 4351045485 | MI |
| Emergency Medicine | 207P00000X | 4301505765 | MI |
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 (SD) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 878 |
|---|---|
| Services billed | 1,433 across 35 procedure codes |
| Paid by Medicare | $111,786 |
Part D prescriptions in 2024
| Prescriptions (claims) | 86 · 86 30-day fills |
|---|---|
| Patients | 75 |
| Total drug cost | $2,295 |
| Generic share | 94% of claims |
Education and affiliations
| Graduation year | 2019 |
|---|---|
| Medicare specialty | Emergency Medicine |
Medical group
- Rapid City Emergency Services PARapid City, SD · 22 clinicians
Hospital affiliations
- Fall River Hospital - CahHot Springs, SD
- Monument Health Rapid City HospitalRapid City, SD
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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