NPPES file of Aug 9, 2026

Alexander L. Brech, MD

Emergency Medicine Physician · Rapid City, SD

Alexander L. Brech, MD is an emergency medicine physician with a practice address in Rapid City, South Dakota, and NPI 1902465784, issued on Jun 6, 2019. Check the license (South Dakota 13583, as entered in NPPES) on the South Dakota Board of Medical and Osteopathic Examiners; the Medicare figures below come from public CMS files.

Record from CMS NPPES, file of Aug 9, 2026 · Medicare files 2023 and 2024 · method · Verify with CMS →

NPPES recordNPPES file of Aug 9, 2026
1902465784
Name
Alexander L. Brech
Credential
MD
Primary taxonomy
Emergency Medicine Physician 207P00000X
License numbers
13583 SD
4301505765 MI
4351045485 MI
Self-reported in NPPES; status is on the state search
Practice location
353 Fairmont Blvd, Rapid City, SD 57701
Phone
(605) 755-8222
Enumerated
Jun 6, 2019
Record last updated
Jul 12, 2022
Medicare enrollment
Enrolled (PECOS I20220725000556); accepts Medicare assignment
Entity
Type 1 · individual
Public record from CMS NPPES (open it on the CMS NPI Registry). Enrollment, assignment, school and telehealth: CMS Doctors and Clinicians file, Aug 2026. A record is not a license: verify it with the state board.
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Also registered at 353 Fairmont Blvd

A shared address usually means a shared clinic or building; it does not show who employs whom.

  1. Riley AckermanPhysician Assistant1073241790
  2. Shakeel Ahmed, MDInternal Medicine Physician1356773113
  3. Osama Ahsan, DOHospitalist Physician1043903891
  4. Bayan Al Share, MDHematology & Oncology Physician1235582065
  5. Ghassan Al-Shbool, MDHematology & Oncology Physician1215450937
  6. Marc Aldrich, MDInternal Medicine Physician1932209442

Verify Alexander L. Brech in five checks

  1. 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
  2. 2LicenseActive license and public ordersSouth Dakota Board of Medical and Osteopathic Examiners
    Search for license 13583
    Check the board
  3. 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
  4. 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
  5. 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Open the South Dakota license search

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62% fewer Medicare Part D claims than the average emergency medicine physician in 2024

86 Medicare Part D claims for 75 beneficiaries, against an average of 226 among the 54,106 providers of this specialty who prescribed in Part D.

  1. Alexander Brech86
  2. Specialty average226

Most prescribed

  1. Ondansetron Odt19 claims
  2. Cephalexin13 claims

Source: CMS Medicare Part D Prescribers by Provider and Drug, 2024 (data.cms.gov). Part D covers prescriptions for Medicare patients only; drugs with fewer than 11 claims are not published.

The practice group's MIPS final score for 2023 (Medicare payment program): 74.6 of 100

The Merit-based Incentive Payment System score is reported for the practice group, not for one clinician alone. Four categories are weighted into the final score; the average among 454,083 clinicians with a measured score was 83.5.

  1. Qualityout of 100 · 30% of the final score67.1
  2. Costnot scored (reweighted)
  3. Promoting interoperabilitynot scored (reweighted)
  4. Improvement activities40 of 40 points · 15%100.0

Source: CMS Quality Payment Program, MIPS performance year 2023, group reporting; category weights for 2023 (qpp.cms.gov).

Bills Medicare through one group practice

  1. Rapid City Emergency Services PARapid City, SD

Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).

Alexander L. Brech among 122 emergency medicine physician records in South Dakota

Alexander L. Brech, MD is one of 122 emergency medicine physician records with a practice address in South Dakota. 80% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2019, is newer than 93% of them.

  • NPI issued2019 · 93% of these records are older, 6% newer
  • In a Medicare fileYes · 80% of these records are
  • In the CMS Doctors and Clinicians fileYes · 38% of these records are
  • Graduated2019 · median 2005 among the 45 with a school on file
  • Record last updated2022 · 62% of these records were not updated in five years or more

Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 207P00000X and a South Dakota practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).

Emergency Medicine Physician providers in South Dakota

There are 122 emergency medicine physician records in South Dakota.

The 8 emergency medicine physician records with the nearest ZIP codes

  1. Kirsten Busse, MDRapid City, SD 577011346228657
  2. Stephen Dick, MDRapid City, SD 577011649369588
  3. Anne Fisher, MDRapid City, SD 577011306935259
  4. Charles Hart, MDRapid City, SD 577011689608739
  5. John Hill, MDRapid City, SD 577011376632091
  6. Terry Hinkson, DORapid City, SD 577011396834040
  7. Nathan Long, M.D.Rapid City, SD 577011497794515
  8. Kelly Manning, MDRapid City, SD 577011174613434

Common questions

What is Alexander L. Brech, MD's NPI number?

Alexander L. Brech, MD's National Provider Identifier (NPI) is 1902465784, issued on Jun 6, 2019. An NPI identifies a provider in billing; it is not a license.

Where is Alexander L. Brech, MD located?

The NPPES record lists a practice address at 353 Fairmont Blvd, Rapid City, SD, 57701. Phone: (605) 755-8222. Providers update this record themselves, so call before visiting.

How can I verify Alexander L. Brech, MD's license?

NPPES lists South Dakota license number 13583, as entered by the provider. Search the South Dakota Board of Medical and Osteopathic Examiners at https://www.sdbmoe.gov/. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.

How much does Alexander L. Brech, MD prescribe under Medicare Part D?

In 2024, Alexander L. Brech, MD had 86 Medicare Part D claims for 75 beneficiaries; the average among emergency medicine physician prescribers was 226. Part D covers Medicare prescriptions only.

What is Alexander L. Brech, MD's MIPS final score?

The 2023 MIPS final score is 74.6 of 100, reported for the practice group. The average among 454,083 clinicians with a measured score was 83.5.

Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.

Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.