BRANDON ALEJANDRO COREY PA
NPI 1083355721
Physician Assistant - Medical in Los Angeles, CA

Active since April 05, 2022PECOS EnrolledAccepts Medicare Assignment
6043 HOLLYWOOD BLVD, LOS ANGELES, CA 90028(323) 653-1990 Get Directions Write a Review

NPPES record last updated: May 11, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: May 11, 2025, Apr 5, 2022 (2 updates tracked since 2022).

About Brandon Alejandro Corey Pa NPPES

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

BRANDON ALEJANDRO COREY PA (NPI 1083355721) is an individual medical provider in Los Angeles, California and active in the NPI registry since April 2022. He is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1083355721
Entity TypeIndividualMale
Primary Taxonomy363AM0700X
Provider Legal NameBRANDON ALEJANDRO COREYCredential: PA
Location Address6043 HOLLYWOOD BLVDLos Angeles, CA 90028-5411
Mailing Address1015 E Spazier Ave Apt 204Burbank, CA 91502-2669 · (612) 669-0752
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateApril 5, 2022
Last NPPES UpdateMay 11, 20252 updates tracked since enumeration
NPPES CertifiedMay 11, 2025
NPI 1083355721 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
6043 HOLLYWOOD BLVD, Los Angeles, CA 90028

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Brandon Alejandro Corey Pa is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9739565490
PECOS Enrollment IDI20241212000804
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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.

Counselor (Mental Health)
6043 HOLLYWOOD BLVD
LOS ANGELES, CA 90028
Marriage & Family Therapist
6043 HOLLYWOOD BLVD
LOS ANGELES, CA 90028
Counselor (Mental Health)
6043 HOLLYWOOD BLVD
LOS ANGELES, CA 90028
Counselor
6043 HOLLYWOOD BLVD
LOS ANGELES, CA 90028
Community/Behavioral Health
6043 HOLLYWOOD BLVD
LOS ANGELES, CA 90028
Community/Behavioral Health
6043 HOLLYWOOD BLVD
LOS ANGELES, CA 90028
Case Manager/Care Coordinator
6043 HOLLYWOOD BLVD
LOS ANGELES, CA 90028
Case Manager/Care Coordinator
6043 HOLLYWOOD BLVD
LOS ANGELES, CA 90028

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1083355721, enumerated as an "individual" on April 05, 2022.

The provider is located at 6043 HOLLYWOOD BLVD LOS ANGELES, CA 90028 and the phone number is (323) 653-1990.

Physician Assistant with taxonomy code 363AM0700X and a focus in Medical.