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DR. BRANDON JUSTIN FAZALARE MD
NPI 1609565860
Student in an Organized Health Care Education/Training Program in Johnson City, TN

Active since May 03, 2023
325 N STATE OF FRANKLIN RD FL 3, JOHNSON CITY, TN 37604(423) 439-7201(423) 439-7219 Get Directions Write a Review

NPPES record last updated: May 3, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Dr. Brandon Justin Fazalare Md NPPES

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

DR. BRANDON JUSTIN FAZALARE MD (NPI 1609565860) is an individual student in an organized health care education/training program in Johnson City, Tennessee and active in the NPI registry since May 2023.

NPPES Registry Identity

NPI1609565860
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameDR. BRANDON JUSTIN FAZALARECredential: MD
Location Address325 N STATE OF FRANKLIN RD FL 3Johnson City, TN 37604-6171
Mailing Address325 N State Of Franklin Rd Fl 3Johnson City, TN 37604-6171 · (423) 439-7201 · Fax (423) 439-7219
Phone(423) 439-7201
Fax(423) 439-7219
Sole ProprietorNo
Enumeration DateMay 3, 2023
NPPES CertifiedMarch 28, 2023
✔ NPI 1609565860 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
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.

325 N STATE OF FRANKLIN RD FL 3, Johnson City, TN 37604
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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.

GAURAV BHARTI M.D.
Plastic Surgery
325 N STATE OF FRANKLIN RD FL 3
JOHNSON CITY, TN 37604
Washington County (423) 439-7201
RYAN JARED CHATELAIN DPM
Podiatrist (Foot & Ankle Surgery)
325 N STATE OF FRANKLIN RD FL 3
JOHNSON CITY, TN 37604
Washington County (423) 439-7201
WILLIAM D. TUCKER MD
Student in an Organized Health Care Education/Training Program
325 N STATE OF FRANKLIN RD FL 3
JOHNSON CITY, TN 37604
Washington County (423) 439-7201
ELIZABETH ANN MANNINO MD
Student in an Organized Health Care Education/Training Program
325 N STATE OF FRANKLIN RD FL 3
JOHNSON CITY, TN 37604
Washington County (423) 439-7201
DR. CATLIN NICOLLE ORSCHEL MD
Student in an Organized Health Care Education/Training Program
325 N STATE OF FRANKLIN RD FL 3
JOHNSON CITY, TN 37604
Washington County (423) 439-7201
TREVY RAMOS D.O.
Surgery
325 N STATE OF FRANKLIN RD FL 3
JOHNSON CITY, TN 37604
Washington County (423) 439-7201
DR. MICHAEL ZASKEY MD
Student in an Organized Health Care Education/Training Program
325 N STATE OF FRANKLIN RD FL 3
JOHNSON CITY, TN 37604
Washington County (423) 439-7201
DR. MARY ELIZABETH MCBRIDE MD
Student in an Organized Health Care Education/Training Program
325 N STATE OF FRANKLIN RD FL 3
JOHNSON CITY, TN 37604
Washington County (423) 439-7201

Frequently Asked Questions

What is Brandon Fazalare's NPI number?

The NPI number assigned to this healthcare provider is 1609565860, enumerated as an "individual" on May 03, 2023.

Where is the provider located?

The provider is located at 325 N STATE OF FRANKLIN RD FL 3 JOHNSON CITY, TN 37604 and the phone number is (423) 439-7201.

What is the provider's specialty?

Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.