1. Home
  2. Directory
  3. California
  4. San Clemente
  5. Otolaryngology
  6. NPI Profile

BRYAN MATTHEW BRANDON
NPI 1548670482
Otolaryngology - Facial Plastic Surgery in San Clemente, CA

Active since April 30, 2014PECOS Enrolled
665 CAMINO DE LOS MARES # 100, SAN CLEMENTE, CA 92673(949) 276-4141 Get Directions Write a Review

NPPES record last updated: July 1, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Bryan Matthew Brandon NPPES

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

BRYAN MATTHEW BRANDON (NPI 1548670482) is an individual facial plastic surgery provider in San Clemente, California, licensed in California (167465) and active in the NPI registry since April 2014. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1548670482
Entity TypeIndividualMale
Primary Taxonomy207YS0123X
Provider Legal NameBRYAN MATTHEW BRANDON
Location Address665 CAMINO DE LOS MARES # 100San Clemente, CA 92673-2859
Mailing Address665 Camino De Los Mares # 100San Clemente, CA 92673-2859 · (949) 276-4141
Phone(949) 276-4141
Sole ProprietorNo
Enumeration DateApril 30, 2014
Last NPPES UpdateJuly 1, 2021
NPPES CertifiedJune 11, 2021
✔ NPI 1548670482 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOtolaryngology · Facial Plastic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207YS0123X
License✔ Licensed in CA · 167465
Definition
An otolaryngologist who specializes in facial plastic surgery.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X · License 201583 (NC)
665 CAMINO DE LOS MARES # 100, San Clemente, CA 92673
Open in Google Maps ↗

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Bryan Matthew Brandon 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.

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 Bryan Brandon's NPI number?

The NPI number for Bryan Brandon is 1548670482. It was assigned to this individual provider in the NPPES registry on April 30, 2014.

Where is Bryan Brandon located?

Bryan Brandon practices at 665 Camino De Los Mares # 100, San Clemente, CA 92673. The listed phone number is (949) 276-4141.

What is Bryan Brandon's specialty?

The primary specialty registered for this NPI is Otolaryngology, specializing in Facial Plastic Surgery, with taxonomy code 207YS0123X.

Is Bryan Brandon enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Bryan Brandon was last updated on July 1, 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.