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DR. BRANDON WALTER HALLAWAY DO
NPI 1558937847
Student in an Organized Health Care Education/Training Program in Phoenix, AZ

Active since May 28, 2021PECOS Enrolled
9201 N 5TH ST, PHOENIX, AZ 85020(480) 882-4545 Get Directions Write a Review

NPPES record last updated: May 28, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Brandon Walter Hallaway Do NPPES

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

DR. BRANDON WALTER HALLAWAY DO (NPI 1558937847) is an individual student in an organized health care education/training program in Phoenix, Arizona, licensed in Arizona (R3620) and active in the NPI registry since May 2021. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1558937847
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameDR. BRANDON WALTER HALLAWAYCredential: DO
Location Address9201 N 5TH STPhoenix, AZ 85020-2532
Mailing Address9202 N 2nd StPhoenix, AZ 85020-2458 · (602) 786-1024
Phone(480) 882-4545
Sole ProprietorNo
Enumeration DateMay 28, 2021
NPPES CertifiedMay 28, 2021
✔ NPI 1558937847 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
License✔ Licensed in AZ · R3620
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.
9201 N 5TH ST, Phoenix, AZ 85020
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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)

Dr. Brandon Walter Hallaway Do 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 13

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

CASSIDY BROOKING-LANG LCSW
Social Worker (Clinical)
9201 N 5TH ST
PHOENIX, AZ 85020
Maricopa County (480) 882-4545
ADRIANA GUADALUPE CARDONA LMSW
Social Worker
9201 N 5TH ST
PHOENIX, AZ 85020
Maricopa County (602) 331-5792
DESERT MISSION INC
Community/Behavioral Health
9201 N 5TH ST
PHOENIX, AZ 85020
Maricopa County (602) 331-5817
DESERT MISSION INC
Clinic/Center (Dental)
9201 N 5TH ST
PHOENIX, AZ 85020
Maricopa County (602) 870-6060
VERONICA TEREZ HURD NP-C, PMHNP-BC
Nurse Practitioner (Psychiatric/Mental Health)
9201 N 5TH ST
PHOENIX, AZ 85020
Maricopa County (602) 331-5817
DR. TYLER BLAINE TORINA DO
Student in an Organized Health Care Education/Training Program
9201 N 5TH ST
PHOENIX, AZ 85020
Maricopa County (480) 882-4545
KALLEN JOY BEALL DO
Student in an Organized Health Care Education/Training Program
9201 N 5TH ST
PHOENIX, AZ 85020
Maricopa County (602) 870-6348
NANNIE JACKSON
Counselor (Addiction (Substance Use Disorder))
9201 N 5TH ST
PHOENIX, AZ 85020
Maricopa County (602) 331-5792

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 Hallaway's NPI number?

The NPI number for Brandon Hallaway is 1558937847. It was assigned to this individual provider in the NPPES registry on May 28, 2021.

Where is Brandon Hallaway located?

Brandon Hallaway practices at 9201 N 5th St, Phoenix, AZ 85020. The listed phone number is (480) 882-4545.

What is Brandon Hallaway'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 Hallaway enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Brandon Hallaway was last updated on May 28, 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.