BRANDON BOURDON
NPI 1548139397
Student in an Organized Health Care Education/Training Program in Traverse City, MI

Active since October 31, 2025
1000 HASTINGS ST, TRAVERSE CITY, MI 49686(231) 947-8110 Get Directions Write a Review

NPPES record last updated: October 31, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Brandon Bourdon NPPES

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

BRANDON BOURDON (NPI 1548139397) is an individual student in an organized health care education/training program in Traverse City, Michigan and active in the NPI registry since October 2025.

NPPES Registry Identity

NPI1548139397
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameBRANDON BOURDON
Location Address1000 HASTINGS STTraverse City, MI 49686-3445
Mailing Address3552 Plum Valley DrTraverse City, MI 49684-8938 · (231) 947-8110
Sole ProprietorYes
Enumeration DateOctober 31, 2025
NPPES CertifiedOctober 31, 2025
NPI 1548139397 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.
1000 HASTINGS ST, Traverse City, MI 49686

Other Providers at the Same Location NPPES 18

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

Social Worker (Clinical)
1000 HASTINGS ST
TRAVERSE CITY, MI 49686
Social Worker (Clinical)
1000 HASTINGS ST
TRAVERSE CITY, MI 49686
Social Worker
1000 HASTINGS ST
TRAVERSE CITY, MI 49686
Counselor (Professional)
1000 HASTINGS ST
TRAVERSE CITY, MI 49686
Counselor (Addiction (Substance Use Disorder))
1000 HASTINGS ST
TRAVERSE CITY, MI 49686
Counselor (Professional)
1000 HASTINGS ST
TRAVERSE CITY, MI 49686
Social Worker (Clinical)
1000 HASTINGS ST
TRAVERSE CITY, MI 49686
Counselor (Mental Health)
1000 HASTINGS ST
TRAVERSE CITY, MI 49686

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 Bourdon's NPI number?

The NPI number for Brandon Bourdon is 1548139397. It was assigned to this individual provider in the NPPES registry on October 31, 2025.

Where is Brandon Bourdon located?

Brandon Bourdon practices at 1000 Hastings St, Traverse City, MI 49686. The listed phone number is (231) 947-8110.

What is Brandon Bourdon's specialty?

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

When was this NPI record last updated?

The NPPES record for Brandon Bourdon was last updated on October 31, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months 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.