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Edit this profileWhere to find Alexander L. Brech, MD
- Rapid City location main office
353 Fairmont Blvd, Rapid City, SD 57701 - Kalamazoo location
1000 Oakland Dr, Kalamazoo, MI 49008
About Dr. Brech
Alexander L. Brech, MD is a healthcare provider in Rapid City, SD specializing in emergency medicine. Alexander is also listed as specializing in student in an organized health care education program. According to Medicare claims data, Alexander cared for 1,290 Medicare patients across 1,350 services. The services billed most often include emergency department visit with high level of medical decision making, routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only, and critical care, first 30-74 minutes. This provider record is associated with NPI 1902465784.
Factual summary compiled by Guide.md from public records; not written by this provider.
Education & Training
Specialty
Credentials & Licensing
Medicare information
Exactly as CMS reports it (National Downloadable File, Opt-Out Affidavits, Order & Referring). Not an insurance directory; confirm coverage with the office.
Contact Information
- (605) 755-8222
- Email not available
Practice Locations
353 FAIRMONT BLVD
Rapid City, SD 57701
1000 Oakland Dr
Kalamazoo, MI 49008
Conditions Commonly Evaluated or Treated
Within Emergency Medicine generally. Availability varies by clinician, training and location — this profile has not been claimed, so nothing here is a personal claim by the provider.
Conditions
Abdomen & Digestion
- Appendicitis
- Lower gastrointestinal bleeding
- Vomiting or throwing up blood
Allergy & Immune
Allergy & Immunology
- Severe Allergic Reaction
Bites & Stings
- Snake Bite or Venomous Sting
- Spider or insect sting reaction
Blood & Circulation
Brain & Nerves
- Delirium
- Fainting and syncope
- Seizure in Child
- Severe headache or sudden migraine
- Status epilepticus
- Stroke
- Transient ischemic attack
Breathing
- Choking or swallowed object
- Coughing up blood
- Severe asthma attack
- Shortness of breath
Digestion & Stomach
- Abdominal Pain
- Acute gallbladder inflammation
- Bowel obstruction
Ear, Nose & Throat
Endocrine & Metabolic
- Dangerous high blood sugar
- Dangerously low blood sugar
Environmental
- Heat stroke
- Hypothermia and frostbite
Eye Care
- Open-globe eye injury
Eye Emergency
General Emergency
- Severe dehydration
- Uncontrolled bleeding
Heart & Chest
Heart & Circulation
- Dangerous high blood pressure
Heart & Lungs
Infections & Illness
- High fever
- Sepsis or blood infection
Injuries & Trauma
- Animal or dog bite
- Bone fractures
- Deep cut or wound
- Dislocated joint
- Severe burn
- Sprains and muscle strains
- Traumatic brain injury
Lungs & Breathing
Men's Health
- Testicular torsion
Poisoning & Environmental
- Smoke Inhalation
Poisoning & Toxins
- Drug overdose or poisoning
Skin & Infections
- Skin abscess or boil
Spine & Back
Urinary & Bladder
- Inability to pee
Urinary & Kidney
Women's Health
- Ectopic pregnancy
- Heavy vaginal bleeding
Procedures & services
Abdominal Procedures
Airway & Breathing
- Emergency surgical airway
Anesthesia & Sedation
Breathing & Airway
- Breathing Treatment
- Emergency intubation
Critical Care
- Blood transfusion
- Central line placement
- Chest tube insertion
- CPR and defibrillation
Diagnostics
- Lumbar puncture
- Rapid blood work
Digestive Care
- Urgent upper endoscopy
Ear, Nose & Throat
- Nasal packing for nosebleed
Eye & ENT
- Eye-pressure measurement
- Foreign Object Removal from Eye
- Superficial foreign-body removal
Eye Care
- Emergency Eye Flushing
Heart & Diagnostics
- Cardioversion for rapid heartbeat
- EKG
Heart Care
- Temporary Pacemaker Placement
Imaging & Diagnostics
- Emergency CT scan
- Emergency MRI scan
- Emergency ultrasound
- Emergency X-ray
Injections & Vaccines
- Rabies shot series
- Tetanus shot
Kidney Care
- Emergency dialysis
Lung & Respiratory
- Chest Needle Decompression
- Draining lung fluid
Medications
- Emergency epinephrine injection
- IV medication for severe nausea
- IV medication for severe pain
Mental Health
- Emergency psychiatric evaluation
Minor Procedures
- Fishhook or embedded splinter removal
- Incision and drainage of an abscess
- Nasal cautery for nosebleeds
- Tick Removal
- Urinary catheter insertion
Minor Trauma
- Stuck ring removal
Orthopedic Procedures
Orthopedics
- Popping a dislocated joint back in place
- Splinting and temporary casting
Poisoning & Toxicology
- Antivenom treatment
Specialized Care
- Sexual assault forensic exam
Stroke & Vascular
- Clot busting medication for stroke
Supportive Care
- IV fluids
Toxicology
- Narcan overdose reversal
- Stomach pumping or activated charcoal
Women's Health
- Emergency pelvic exam
Wound Care
- Burn dressing and care
- Skin glue for cuts
- Stitches and Laceration Repair
- Wound cleaning and debridement
- Wound stapling
Procedures Most Often Billed to Medicare
1,350 services · 1,290 patients · 5 distinct codes
| Procedure | Type | Code | Services | Compared with peers |
|---|---|---|---|---|
| Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only | Treatment | 93010 |
469 | More than most peers in Emergency Medicine |
| Emergency department visit with high level of medical decision making | Office visit | 99285 |
570 | More than most peers in Emergency Medicine |
| Critical care, first 30-74 minutes | Office visit | 99291 |
142 | More than most peers in Emergency Medicine |
| Emergency department visit with moderate level of medical decision making | Office visit | 99284 |
140 | More often than most peers in Emergency Medicine |
| Emergency department visit with low level of medical decision making | Office visit | 99283 |
29 | More often than most peers in Emergency Medicine |
Source: CMS Medicare public data. Shows how often procedures were billed — not quality of care or patient satisfaction.
Related providers
Connections drawn from the registry and from what providers have told us. A link here is not a referral or an endorsement.
Other emergency physicians at this location 2
Same specialty, same street address — most likely the same department or group.
Related specialists at this location 1
Clinically related specialties at the same address — the people this provider most likely works alongside.
Also at this address 4
Providers at the same street address. Each files their own registry entry, so a shared practice often appears under several different names.
More connections — 28 related providers in 4 groups
Other emergency physicians in Rapid City 6
Same specialty, same city.
Trained at Other 8
Other providers in the same specialty who trained at the same institution.
Class of 2019 at Other 8
Providers who graduated from the same medical school in the same year.
Also performs Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 6
Providers in SD who bill this service to Medicare most often.
Common questions
What does Dr. Brech specialize in?
Dr. Brech is an emergency physician in Rapid City, SD. That is the designation recorded for this NPI in the federal registry, where it is listed as “Emergency Medicine”.
NPI registry
Where is Dr. Brech located?
Dr. Brech is listed at 353 Fairmont Blvd, Rapid City, SD 57701. Addresses come from the NPI registry and can lag a move, so confirm before travelling.
NPI registry
What is Dr. Brech's phone number?
The number on file is (605) 755-8222. Contact the office directly to confirm availability and scheduling.
NPI registry
What is Dr. Brech's NPI number?
Dr. Brech's National Provider Identifier is 1902465784. It is issued by the Centers for Medicare & Medicaid Services and is unique and permanent — it does not change if they move practice.
NPI registry
Where did Dr. Brech go to medical school?
Dr. Brech attended Other, graduating in 2019. This comes from the CMS National Downloadable File.
CMS public data
How long has Dr. Brech been practicing?
Dr. Brech has 7 years experience. Calculated from a graduation year of 2019, reported in the CMS National Downloadable File.
CMS public data
What does Dr. Brech do most often?
According to Medicare billing data, Dr. Brech provides treatments such as routine electrocardiogram using at least 12 leads with interpretation and report only, alongside routine visits and testing. This reflects Medicare patients only and is billing volume, not a measure of quality.
Medicare claims
Has Dr. Brech confirmed this information?
Not yet. This profile is built from public federal data and has not been confirmed by Dr. Brech. If this is you, claiming it is free.
Guide.md
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