BRANDON SMALLS - NPI 1265134407 - Student in an Organized Health Care Education/Training Program in Greenville, SC

Q: What is Brandon Smalls's NPI number?

The NPI number for Brandon Smalls is 1265134407. It was assigned to this individual provider in the NPPES registry on March 21, 2023.

Q: What is Brandon Smalls's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Brandon Smalls was last updated on March 21, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Brandon Smalls NPPES

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

BRANDON SMALLS (NPI 1265134407) is an individual student in an organized health care education/training program in Greenville, South Carolina and active in the NPI registry since March 2023. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1265134407

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameBRANDON SMALLS

Location Address607 GROVE RDGreenville, SC 29605-4208

Mailing Address118 WindridgeLagrange, GA 30240-9728

Phone(864) 455-7992

Sole ProprietorNo

Enumeration DateMarch 21, 2023

NPPES CertifiedMarch 21, 2023

✔ NPI 1265134407 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.

607 GROVE RD, Greenville, SC 29605

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Brandon Smalls is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 7

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

SERGIY MYKOLAYOVYCH PUSTOGAROV