Brandon, Bryan Eugene

Brandon, Bryan Eugene is an individual health care provider with primary practice located at 135 Medical Dr Suite 101, Advance NC 27006-6651. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthopedic, which is considered as his primary health care specialty. Brandon, Bryan Eugene can be contacted via phone (336) 940-6416.

Contact Information

Primary practice address
135 Medical Dr Suite 101 Advance NC 27006-6651
Phone: (336) 940-6416
Fax: (336) 940-6410
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthopedic 2251X0800X

Profile Details

NPI number 1922062165
LBN Legal business name Brandon, Bryan Eugene
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 14th, 2006
Last updated Jul 9th, 2007 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1922062165 NPPES
North Carolina MEDICAID 7210626
North Carolina Other 0281Y
North Carolina Other 85377

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