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BRANDON WOLTERS
NPI 1467204040
Student in an Organized Health Care Education/Training Program in Dayton, OH

Active since April 04, 2024PECOS Enrolled
1 WYOMING STREET, BG020, DAYTON, OH 45409(937) 208-2850 Get Directions Write a Review

NPPES record last updated: April 4, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Brandon Wolters NPPES

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

BRANDON WOLTERS (NPI 1467204040) is an individual student in an organized health care education/training program in Dayton, Ohio and active in the NPI registry since April 2024. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1467204040
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameBRANDON WOLTERS
Location Address1 WYOMING STREET, BG020Dayton, OH 45409
Mailing Address1 Wyoming Street, Bg020Dayton, OH 45409 · (937) 208-2850
Phone(937) 208-2850
Sole ProprietorNo
Enumeration DateApril 4, 2024
NPPES CertifiedApril 4, 2024
✔ NPI 1467204040 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.
1 WYOMING STREET, BG020, Dayton, OH 45409
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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 Wolters 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

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

RYAN TETLA MD
Student in an Organized Health Care Education/Training Program
1 WYOMING STREET, BG020
DAYTON, OH 45409
Montgomery County (937) 208-2850

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Brandon Wolters's NPI number?

The NPI number for Brandon Wolters is 1467204040. It was assigned to this individual provider in the NPPES registry on April 4, 2024.

Where is Brandon Wolters located?

Brandon Wolters practices at 1 Wyoming Street, Bg020, Dayton, OH 45409. The listed phone number is (937) 208-2850.

What is Brandon Wolters's specialty?

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

Is Brandon Wolters enrolled in Medicare?

Yes. Brandon Wolters is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Brandon Wolters was last updated on April 4, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.