DR. BRANDON RICHARD LEWIS DEATHERAGE DO
NPI 1730877853
Psychiatry & Neurology - Neurology in Tucson, AZ

Q: What is Brandon Deatherage's NPI number?

The NPI number for Brandon Deatherage is 1730877853. It was assigned to this individual provider in the NPPES registry on April 26, 2023.

Q: What is Brandon Deatherage's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

Active since April 26, 2023PECOS Enrolled

1625 N CAMPBELL AVE, TUCSON, AZ 85719(520) 694-0111 Get Directions Write a Review

NPPES record last updated: April 26, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Dr. Brandon Richard Lewis Deatherage Do NPPES

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

DR. BRANDON RICHARD LEWIS DEATHERAGE DO (NPI 1730877853) is an individual neurology provider in Tucson, Arizona, licensed in Arizona (R4027) and active in the NPI registry since April 2023. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1730877853

Entity TypeIndividualMale

Primary Taxonomy2084N0400X

Provider Legal NameDR. BRANDON RICHARD LEWIS DEATHERAGECredential: DO

Location Address1625 N CAMPBELL AVETucson, AZ 85719-4330

Mailing Address1501 N Campbell Ave Rm 6207Tucson, AZ 85724-0001 · (520) 626-1376

Phone(520) 694-0111

Sole ProprietorYes

Enumeration DateApril 26, 2023

NPPES CertifiedApril 26, 2023

✔ NPI 1730877853 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians

Taxonomy Code2084N0400X

License✔ Licensed in AZ · R4027

Definition

A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.

1625 N CAMPBELL AVE, Tucson, AZ 85719

Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 Richard Lewis Deatherage 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85719 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$127.71 typical visit price

range $55.44 – $168.60

Typical copayment $31.92 (range $13.86 – $42.15)

Most-billed visit code 99204

Established Patient

$98.00 typical visit price

range $17.72 – $137.41

Typical copayment $24.50 (range $4.43 – $34.35)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

KATELYN DESALVO MD

Pediatrics