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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

BRANDON W HENRY
NPI 1710746946
Student in an Organized Health Care Education/Training Program in Philadelphia, PA

Active since March 18, 2024PECOS Enrolled
4190 CITY AVE STE 409, PHILADELPHIA, PA 19131(215) 871-6730 Get Directions Write a Review

NPPES record last updated: July 17, 2026. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Jul 17, 2026, Apr 11, 2024 (2 updates tracked since 2024).

About Brandon W Henry NPPES

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

BRANDON W HENRY (NPI 1710746946) is an individual student in an organized health care education/training program in Philadelphia, Pennsylvania, licensed in Pennsylvania (OT025149) and active in the NPI registry since March 2024. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1710746946
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameBRANDON W HENRY
Location Address4190 CITY AVE STE 409Philadelphia, PA 19131-1629
Mailing Address4190 City Ave Ste 409Philadelphia, PA 19131-1629 · (215) 871-6730
Phone(215) 871-6730
Sole ProprietorYes
Enumeration DateMarch 18, 2024
Last NPPES UpdateJuly 17, 20262 updates tracked since enumeration
NPPES CertifiedJuly 17, 2026
✔ NPI 1710746946 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 PA · OT025149
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.
4190 CITY AVE STE 409, Philadelphia, PA 19131
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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 W Henry 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 12

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

JORDAN ABRAM HIGGS DO
Student in an Organized Health Care Education/Training Program
4190 CITY AVE STE 409
PHILADELPHIA, PA 19131
Philadelphia County (800) 778-4723
DR. RICHARD HIEU TRUNG HUYNH D.O.
Plastic Surgery
4190 CITY AVE STE 409
PHILADELPHIA, PA 19131
Philadelphia County (215) 871-6694
GABRIELLE ALUISIO DO, MBA
Student in an Organized Health Care Education/Training Program
4190 CITY AVE STE 409
PHILADELPHIA, PA 19131
Philadelphia County (336) 937-4959
JACOB KING
Student in an Organized Health Care Education/Training Program
4190 CITY AVE STE 409
PHILADELPHIA, PA 19131
Philadelphia County (215) 871-6926
MARIE JOUNG DO
Student in an Organized Health Care Education/Training Program
4190 CITY AVE STE 409
PHILADELPHIA, PA 19131
Philadelphia County (260) 312-8496
SHREYA PATEL DO
Student in an Organized Health Care Education/Training Program
4190 CITY AVE STE 409
PHILADELPHIA, PA 19131
Philadelphia County (800) 778-4723
NICOLE IVONNE MCMANUS DO
Student in an Organized Health Care Education/Training Program
4190 CITY AVE STE 409
PHILADELPHIA, PA 19131
Philadelphia County (352) 459-7479
SAMIN ZAHRA ARIANPOUR
Student in an Organized Health Care Education/Training Program
4190 CITY AVE STE 409
PHILADELPHIA, PA 19131
Philadelphia County (215) 871-6730

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 Henry's NPI number?

The NPI number for Brandon Henry is 1710746946. It was assigned to this individual provider in the NPPES registry on March 18, 2024.

Where is Brandon Henry located?

Brandon Henry practices at 4190 City Ave Ste 409, Philadelphia, PA 19131. The listed phone number is (215) 871-6730.

What is Brandon Henry'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 Henry enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Brandon Henry was last updated on July 17, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 53 days 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.