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MR. BRETT ALEXANDER TALLEY PA-S
NPI 1104438662
Student in an Organized Health Care Education/Training Program in Fort Wayne, IN

Active since August 17, 2020
1819 CAREW ST, FORT WAYNE, IN 46805(260) 702-8055 Get Directions Write a Review

NPPES record last updated: November 27, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mr. Brett Alexander Talley Pa-s NPPES

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

MR. BRETT ALEXANDER TALLEY PA-S (NPI 1104438662) is an individual student in an organized health care education/training program in Fort Wayne, Indiana and active in the NPI registry since August 2020.

NPPES Registry Identity

NPI1104438662
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameMR. BRETT ALEXANDER TALLEYCredential: PA-S
Location Address1819 CAREW STFort Wayne, IN 46805-4705
Mailing Address1635 Bayview DrFort Wayne, IN 46815-4203 · (616) 848-5953
Phone(260) 702-8055
Sole ProprietorNo
Enumeration DateAugust 17, 2020
Last NPPES UpdateNovember 27, 2023
NPPES CertifiedAugust 17, 2020
✔ NPI 1104438662 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.
1819 CAREW ST, Fort Wayne, IN 46805
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Other Providers at the Same Location NPPES 14

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

KATHLEEN MARIE MCCOY RDMS, BS
Specialist/Technologist Cardiovascular (Sonography)
1819 CAREW ST
FORT WAYNE, IN 46805
Allen County (260) 481-4785
FORT WAYNE CARDIOLOGY CORPORATION
Internal Medicine (Cardiovascular Disease)
1819 CAREW ST
FORT WAYNE, IN 46805
Allen County (260) 481-4700
TAYLOR SMITH-GRABER
Physician Assistant
1819 CAREW ST
FORT WAYNE, IN 46805
Allen County (260) 702-8064
BRADLEY OPHOFF
Physician Assistant (Medical)
1819 CAREW ST
FORT WAYNE, IN 46805
Allen County (805) 570-2260
BRANDON CAPALBO PA-C
Physician Assistant
1819 CAREW ST
FORT WAYNE, IN 46805
Allen County (260) 702-8060
ELIZABETH ZEBROWSKI
Physician Assistant
1819 CAREW ST
FORT WAYNE, IN 46805
Allen County (216) 406-7317
RAYMOND E DUSMAN JR. MD
Internal Medicine (Cardiovascular Disease)
1819 CAREW ST
FORT WAYNE, IN 46805
Allen County (260) 481-4700
FORT WAYNE CARDIOLOGY CORPORATION
Internal Medicine (Cardiovascular Disease)
1819 CAREW ST
FORT WAYNE, IN 46805
Allen County (260) 481-4700

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 Brett Talley's NPI number?

The NPI number for Brett Talley is 1104438662. It was assigned to this individual provider in the NPPES registry on August 17, 2020.

Where is Brett Talley located?

Brett Talley practices at 1819 Carew St, Fort Wayne, IN 46805. The listed phone number is (260) 702-8055.

What is Brett Talley'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 Brett Talley was last updated on November 27, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.