BRANDON MICHAEL PETROVICH MD
NPI 1366908683
Student in an Organized Health Care Education/Training Program in San Diego, CA

Q: What is Brandon Petrovich's NPI number?

The NPI number for Brandon Petrovich is 1366908683. It was assigned to this individual provider in the NPPES registry on February 11, 2019.

Q: What is Brandon Petrovich'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 Petrovich was last updated on May 6, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months 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.

Active since February 11, 2019

200 W ARBOR DR, SAN DIEGO, CA 92103(619) 543-3000 Get Directions Write a Review

NPPES record last updated: May 6, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: May 6, 2026, Feb 11, 2019 (2 updates tracked since 2019).

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About Brandon Michael Petrovich Md NPPES

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

BRANDON MICHAEL PETROVICH MD (NPI 1366908683) is an individual student in an organized health care education/training program in San Diego, California and active in the NPI registry since February 2019.

NPPES Registry Identity

NPI1366908683

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameBRANDON MICHAEL PETROVICHCredential: MD

Location Address200 W ARBOR DRSan Diego, CA 92103-9000

Mailing Address6543 Clifton Park Cir N Apt 202New Albany, OH 43054-1168 · (740) 975-8104

Phone(619) 543-3000

Sole ProprietorNo

Enumeration DateFebruary 11, 2019

Last NPPES UpdateMay 6, 20262 updates tracked since enumeration

NPPES CertifiedMay 6, 2026

✔ NPI 1366908683 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.

200 W ARBOR DR, San Diego, CA 92103

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource.Insurance ›

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.

DR. RAMIN MOTARJEMI M.D.

Internal Medicine (Geriatric Medicine)