BRANDON DAVID MUCKLEY
NPI 1396204699
Student in an Organized Health Care Education/Training Program in Atlanta, GA

Q: What is Brandon Muckley's NPI number?

The NPI number for Brandon Muckley is 1396204699. It was assigned to this individual provider in the NPPES registry on March 16, 2019.

Q: What is Brandon Muckley'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 Muckley was last updated on March 16, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.

Active since March 16, 2019PECOS Enrolled

49 JESSE HILL JR DR SE, ATLANTA, GA 30303(404) 778-7777 Get Directions Write a Review

NPPES record last updated: March 16, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Brandon David Muckley NPPES

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

BRANDON DAVID MUCKLEY (NPI 1396204699) is an individual student in an organized health care education/training program in Atlanta, Georgia and active in the NPI registry since March 2019. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1396204699

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameBRANDON DAVID MUCKLEY

Location Address49 JESSE HILL JR DR SEAtlanta, GA 30303-3049

Mailing Address830 Gardenbrook Cir Apt HIndianapolis, IN 46202-4657 · (812) 374-9006

Phone(404) 778-7777

Sole ProprietorNo

Enumeration DateMarch 16, 2019

✔ NPI 1396204699 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.

49 JESSE HILL JR DR SE, Atlanta, GA 30303

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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 David Muckley 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.

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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.

NICHOLAS AUSTIN MD

Internal Medicine