BRANDON PROVOST
NPI 1003384330
Nurse Practitioner - Family in Houston, TX

Active since November 05, 2018
952 ECHO LN STE 210, HOUSTON, TX 77024(832) 430-2872 Get Directions Write a Review

NPPES record last updated: November 5, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Brandon Provost NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BRANDON PROVOST (NPI 1003384330) is an individual family provider in Houston, Texas, licensed in Tennessee (AP139620) and active in the NPI registry since November 2018.

NPPES Registry Identity

NPI1003384330
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameBRANDON PROVOST
Location Address952 ECHO LN STE 210Houston, TX 77024-2785
Mailing Address952 Echo Ln Ste 210Houston, TX 77024-2785
Sole ProprietorNo
Enumeration DateNovember 5, 2018
NPI 1003384330 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in TN · AP139620
952 ECHO LN STE 210, Houston, TX 77024

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Psychiatry & Neurology (Psychiatry)
952 ECHO LN STE 210
HOUSTON, TX 77024
Physician Assistant
952 ECHO LN STE 210
HOUSTON, TX 77024

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Brandon Provost's NPI number?

The NPI number for Brandon Provost is 1003384330. It was assigned to this individual provider in the NPPES registry on November 5, 2018.

Where is Brandon Provost located?

Brandon Provost practices at 952 Echo Ln Ste 210, Houston, TX 77024. The listed phone number is (832) 430-2872.

What is Brandon Provost's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Brandon Provost was last updated on November 5, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.