BRANDON MARK TALLMAN MD
NPI 1396236287
Pediatrics - Adolescent Medicine in Yuma, AZ

Q: What is Brandon Tallman's NPI number?

The NPI number for Brandon Tallman is 1396236287. It was assigned to this individual provider in the NPPES registry on May 25, 2018.

Q: What is Brandon Tallman's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Adolescent Medicine, with taxonomy code 2080A0000X.

Q: When was this NPI record last updated?

The NPPES record for Brandon Tallman was last updated on August 17, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since May 25, 2018PECOS Enrolled

2400 S AVENUE A, YUMA, AZ 85364(928) 344-2000 Get Directions Write a Review

NPPES record last updated: August 17, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Aug 17, 2023, Aug 11, 2023, May 25, 2018 (3 updates tracked since 2018).

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About Brandon Mark Tallman Md NPPES

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

BRANDON MARK TALLMAN MD (NPI 1396236287) is an individual adolescent medicine provider in Yuma, Arizona, licensed in Arizona (70115) and active in the NPI registry since May 2018. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1396236287

Entity TypeIndividualMale

Primary Taxonomy2080A0000X

Provider Legal NameBRANDON MARK TALLMANCredential: MD

Location Address2400 S AVENUE AYuma, AZ 85364-7170

Mailing Address530 Ne Glen Oak AvePeoria, IL 61637-0001

Phone(928) 344-2000

Sole ProprietorNo

Enumeration DateMay 25, 2018

Last NPPES UpdateAugust 17, 20233 updates tracked since enumeration

NPPES CertifiedAugust 17, 2023

✔ NPI 1396236287 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatrics · Adolescent MedicineAllopathic & Osteopathic Physicians

Taxonomy Code2080A0000X

License✔ Licensed in AZ · 70115

Definition

A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.

Also ListedPediatricsTaxonomy 208000000X · License 70115 (AZ)

2400 S AVENUE A, Yuma, AZ 85364

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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 Mark Tallman Md 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.