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BRANDON COLEMAN
NPI 1689321861
Student in an Organized Health Care Education/Training Program in Sacramento, CA

Active since March 07, 2022PECOS Enrolled
501 J ST, SACRAMENTO, CA 95814(916) 497-3019 Get Directions Write a Review

NPPES record last updated: April 5, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 5, 2023, Mar 7, 2022 (2 updates tracked since 2022).

About Brandon Coleman NPPES

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

BRANDON COLEMAN (NPI 1689321861) is an individual student in an organized health care education/training program in Sacramento, California and active in the NPI registry since March 2022. He is enrolled in Medicare PECOS and is a graduate of University Of California, Davis School Of Medicine (2023).

NPPES Registry Identity

NPI1689321861
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameBRANDON COLEMAN
Location Address501 J STSacramento, CA 95814-2325
Mailing Address501 J StSacramento, CA 95814-2325 · (916) 497-3019
Phone(916) 497-3019
Sole ProprietorNo
Medical School CMSUniversity Of California, Davis School Of MedicineGraduated 2023
Enumeration DateMarch 7, 2022
Last NPPES UpdateApril 5, 20232 updates tracked since enumeration
NPPES CertifiedApril 5, 2023
✔ NPI 1689321861 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.
501 J ST, Sacramento, CA 95814
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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)

Brandon Coleman is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID9436699501
PECOS Enrollment IDI20250830000261
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.

RENU BANSAL MD
Student in an Organized Health Care Education/Training Program
501 J ST
SACRAMENTO, CA 95814
Sacramento County (916) 497-3000
BRYAN RANGEL-ALVAREZ MD
Student in an Organized Health Care Education/Training Program
501 J ST
SACRAMENTO, CA 95814
Sacramento County (916) 497-3000
DR. NEHA MANNIKAR MD
Student in an Organized Health Care Education/Training Program
501 J ST
SACRAMENTO, CA 95814
Sacramento County (916) 497-3019
PRITHA GHOSH ROY MD
Student in an Organized Health Care Education/Training Program
501 J ST
SACRAMENTO, CA 95814
Sacramento County (916) 497-3019
MIKAEL R HABTEZION PHARMD
Pharmacist (Ambulatory Care)
501 J ST
SACRAMENTO, CA 95814
Sacramento County (916) 497-3000
TRIPAT CHEEMA
Pharmacist
501 J ST
SACRAMENTO, CA 95814
Sacramento County (916) 497-3000
LISA KIM
Family Medicine
501 J ST
SACRAMENTO, CA 95814
Sacramento County (916) 497-3000
JENNIFER NG
Student in an Organized Health Care Education/Training Program
501 J ST
SACRAMENTO, CA 95814
Sacramento County (916) 497-3000

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 Coleman's NPI number?

The NPI number for Brandon Coleman is 1689321861. It was assigned to this individual provider in the NPPES registry on March 7, 2022.

Where is Brandon Coleman located?

Brandon Coleman practices at 501 J St, Sacramento, CA 95814. The listed phone number is (916) 497-3019.

What is Brandon Coleman'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 Coleman enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Brandon Coleman was last updated on April 5, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.