MR. BREON JERMAINE BACKUS SR. LPN
NPI 1508205576
Licensed Practical Nurse in Columbus, OH

Active since June 22, 2013
1833 BROOKFIELD RD, COLUMBUS, OH 43229(614) 917-9341 Get Directions Write a Review

NPPES record last updated: June 22, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mr. Breon Jermaine Backus Sr. Lpn NPPES

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

MR. BREON JERMAINE BACKUS SR. LPN (NPI 1508205576) is an individual licensed practical nurse in Columbus, Ohio, licensed in Ohio (PN.152004-M-IV) and active in the NPI registry since June 2013.

NPPES Registry Identity

NPI1508205576
Entity TypeIndividualMale
Primary Taxonomy164W00000X
Provider Legal NameMR. BREON JERMAINE BACKUS SR.Credential: LPN
Location Address1833 BROOKFIELD RDColumbus, OH 43229-3703
Mailing Address1833 Brookfield RdColumbus, OH 43229-3703 · (614) 917-9341
Sole ProprietorYes
Enumeration DateJune 22, 2013
NPI 1508205576 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyLicensed Practical NurseNursing Service Providers
Taxonomy Code164W00000X
License Licensed in OH · PN.152004-M-IV
Definition
A licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
1833 BROOKFIELD RD, Columbus, OH 43229

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 Breon Backus's NPI number?

The NPI number for Breon Backus is 1508205576. It was assigned to this individual provider in the NPPES registry on June 22, 2013.

Where is Breon Backus located?

Breon Backus practices at 1833 Brookfield Rd, Columbus, OH 43229. The listed phone number is (614) 917-9341.

What is Breon Backus's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

When was this NPI record last updated?

The NPPES record for Breon Backus was last updated on June 22, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.