BRANDON EDGAR
NPI 1285169946
Counselor - Professional in Medford, OR

Active since May 01, 2017
107 E MAIN ST STE 2, MEDFORD, OR 97501(458) 225-0895 Get Directions Write a Review

NPPES record last updated: December 21, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Brandon Edgar NPPES

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

BRANDON EDGAR (NPI 1285169946) is an individual professional provider in Medford, Oregon, licensed in Oregon (C4709) and active in the NPI registry since May 2017.Information from the official NPPES registry record, last updated December 21, 2023.

NPPES Registry Identity

NPI1285169946
Entity TypeIndividualMale
Provider Legal NameBRANDON EDGAR
Location Address107 E MAIN ST STE 2Medford, OR 97501-6022
Mailing Address107 E Main St Ste 2Medford, OR 97501-6022 · (458) 225-0895
Sole ProprietorNo
Enumeration DateMay 1, 2017
Last NPPES UpdateDecember 21, 2023
NPPES CertifiedDecember 21, 2023
NPI 1285169946 is a valid, active identifier and passes the ISO check-digit test. How NPI validation works

Primary Specialty

Counselor · Professional

Taxonomy 101YP2500X · Behavioral Health & Social Service Providers

Licensed in OR · C4709 Licensed in IL · 178.011067
107 E MAIN ST STE 2, Medford, OR 97501

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Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1285169946, enumerated as an "individual" on May 01, 2017.

The provider is located at 107 E MAIN ST STE 2 MEDFORD, OR 97501 and the phone number is (458) 225-0895.

Counselor with taxonomy code 101YP2500X and a focus in Professional.

The provider might be accepting Accepts: BridgeSpan Health Company, PacificSource Health. Please consult your insurance carrier or call the provider to verify.