DR. BRANDON HUY PHAM
NPI 1508442104
Student in an Organized Health Care Education/Training Program in Miami, FL

Active since March 23, 2021PECOS EnrolledAccepts Medicare Assignment
1611 NW 12TH AVE, MIAMI, FL 33136(305) 585-1111 Get Directions Write a Review

NPPES record last updated: March 23, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Brandon Huy Pham NPPES

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

DR. BRANDON HUY PHAM (NPI 1508442104) is an individual student in an organized health care education/training program in Miami, Florida and active in the NPI registry since March 2021. He is enrolled in Medicare PECOS and is a graduate of Stanford University School Of Medicine (2021).

NPPES Registry Identity

NPI1508442104
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameDR. BRANDON HUY PHAM
Location Address1611 NW 12TH AVEMiami, FL 33136-1005
Mailing Address900 Nw 17th StMiami, FL 33136-1119
Sole ProprietorNo
Medical School CMSStanford University School Of MedicineGraduated 2021
Enumeration DateMarch 23, 2021
NPPES CertifiedMarch 23, 2021
NPI 1508442104 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

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.
1611 NW 12TH AVE, Miami, FL 33136

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Dr. Brandon Huy Pham is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6305375957
PECOS Enrollment IDI20250127000923
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 20

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

Student in an Organized Health Care Education/Training Program
1611 NW 12TH AVE
MIAMI, FL 33136
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
1611 NW 12TH AVE, PHARMACY ADM. OFFICES/EAST TOWER BASEMENT 069
MIAMI, FL 33136
Student in an Organized Health Care Education/Training Program
1611 NW 12TH AVE
MIAMI, FL 33136
Pediatrics (Pediatric Cardiology)
1611 NW 12TH AVE
MIAMI, FL 33136
Nurse Practitioner (Adult Health)
1611 NW 12TH AVE
MIAMI, FL 33136
Anesthesiology
1611 NW 12TH AVE, CENTRAL 300
MIAMI, FL 33136
Pathology (Anatomic Pathology)
1611 NW 12TH AVE
MIAMI, FL 33136
Surgery
1611 NW 12TH AVE
MIAMI, FL 33136

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 Pham's NPI number?

The NPI number for Brandon Pham is 1508442104. It was assigned to this individual provider in the NPPES registry on March 23, 2021.

Where is Brandon Pham located?

Brandon Pham practices at 1611 NW 12th Ave, Miami, FL 33136. The listed phone number is (305) 585-1111.

What is Brandon Pham'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 Pham enrolled in Medicare?

Yes. Brandon Pham is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Brandon Pham accept?

Health plans from Florida Blue (BlueCross BlueShield FL) list Brandon Pham as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Brandon Pham was last updated on March 23, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.