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BRANDON JAMES MOODY I
NPI 1053876854
Student in an Organized Health Care Education/Training Program in Adrian, MI

Active since February 05, 2019
110 S MADISON ST, ADRIAN, MI 49221(517) 265-5161 Get Directions Write a Review

NPPES record last updated: February 5, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Brandon James Moody I NPPES

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

BRANDON JAMES MOODY I (NPI 1053876854) is an individual student in an organized health care education/training program in Adrian, Michigan and active in the NPI registry since February 2019.

NPPES Registry Identity

NPI1053876854
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameBRANDON JAMES MOODY I
Location Address110 S MADISON STAdrian, MI 49221-2518
Mailing Address5333 Main St Apt 104Sylvania, OH 43560-2142 · (419) 708-4547
Phone(517) 265-5161
Sole ProprietorNo
Enumeration DateFebruary 5, 2019
✔ NPI 1053876854 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
110 S MADISON ST, Adrian, MI 49221
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Other Providers at the Same Location NPPES 20

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

MATTHEW ALAN BORUCKI
Specialist/Technologist (Athletic Trainer)
110 S MADISON ST
ADRIAN, MI 49221
Lenawee County (734) 536-7470
REID KEELEY BAHR
Specialist/Technologist (Athletic Trainer)
110 S MADISON ST
ADRIAN, MI 49221
Lenawee County (517) 265-5161
REBECCA ANNE NEAL
Student in an Organized Health Care Education/Training Program
110 S MADISON ST
ADRIAN, MI 49221
Lenawee County (248) 736-9660
DENISE GAMAS GONZALEZ
Specialist/Technologist (Athletic Trainer)
110 S MADISON ST
ADRIAN, MI 49221
Lenawee County (317) 370-5378
JAMES NICKNAIR
Specialist/Technologist (Athletic Trainer)
110 S MADISON ST
ADRIAN, MI 49221
Lenawee County (207) 299-6228
HANNAH BERENSON
Emergency Medicine (Sports Medicine)
110 S MADISON ST
ADRIAN, MI 49221
Lenawee County (517) 265-5161
KELSIE ELIZABETH VANBEELEN
Specialist/Technologist (Athletic Trainer)
110 S MADISON ST
ADRIAN, MI 49221
Lenawee County (517) 265-5161
ANTHONY MICHAEL ROSSI ATC, CSCS, NREMT
Specialist/Technologist (Athletic Trainer)
110 S MADISON ST
ADRIAN, MI 49221
Lenawee County (517) 264-3969

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 Moody's NPI number?

The NPI number for Brandon Moody is 1053876854. It was assigned to this individual provider in the NPPES registry on February 5, 2019.

Where is Brandon Moody located?

Brandon Moody practices at 110 S Madison St, Adrian, MI 49221. The listed phone number is (517) 265-5161.

What is Brandon Moody's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Brandon Moody was last updated on February 5, 2019. 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.