BRANDON LEE PHELPS
NPI 1063106839
Licensed Practical Nurse in Dayton, OH

Active since June 05, 2023
8091 BACK BAY CT APT 2A, DAYTON, OH 45458(513) 496-6968 Get Directions Write a Review

NPPES record last updated: June 5, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Brandon Lee Phelps NPPES

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

BRANDON LEE PHELPS (NPI 1063106839) is an individual licensed practical nurse in Dayton, Ohio, licensed in Ohio (170217) and active in the NPI registry since June 2023.

NPPES Registry Identity

NPI1063106839
Entity TypeIndividualMale
Primary Taxonomy164W00000X
Provider Legal NameBRANDON LEE PHELPS
Location Address8091 BACK BAY CT APT 2ADayton, OH 45458-1766
Mailing Address8091 Back Bay Ct Apt 2aDayton, OH 45458-1766 · (151) 359-4062
Sole ProprietorYes
Enumeration DateJune 5, 2023
NPPES CertifiedJune 5, 2023
NPI 1063106839 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyLicensed Practical NurseNursing Service Providers
Taxonomy Code164W00000X
License Licensed in OH · 170217
Definition
A licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
8091 BACK BAY CT APT 2A, Dayton, OH 45458

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 Phelps's NPI number?

The NPI number for Brandon Phelps is 1063106839. It was assigned to this individual provider in the NPPES registry on June 5, 2023.

Where is Brandon Phelps located?

Brandon Phelps practices at 8091 Back Bay Ct Apt 2A, Dayton, OH 45458. The listed phone number is (513) 496-6968.

What is Brandon Phelps's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

When was this NPI record last updated?

The NPPES record for Brandon Phelps was last updated on June 5, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.