1. Home
  2. Directory
  3. Connecticut
  4. New Haven
  5. Student In An Organized Health Care Education Training Program
  6. NPI Profile

BRANDON MANOR MD
NPI 1760284343
Student in an Organized Health Care Education/Training Program in New Haven, CT

Active since March 25, 2025PECOS Enrolled
300 GEORGE ST, NEW HAVEN, CT 06511(203) 785-2095 Get Directions Write a Review

NPPES record last updated: March 25, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Brandon Manor Md NPPES

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

BRANDON MANOR MD (NPI 1760284343) is an individual student in an organized health care education/training program in New Haven, Connecticut and active in the NPI registry since March 2025. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1760284343
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameBRANDON MANORCredential: MD
Location Address300 GEORGE STNew Haven, CT 06511-6624
Mailing Address300 George StNew Haven, CT 06511-6624 · (203) 785-2095
Phone(203) 785-2095
Sole ProprietorYes
Enumeration DateMarch 25, 2025
NPPES CertifiedMarch 25, 2025
✔ NPI 1760284343 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.
300 GEORGE ST, New Haven, CT 06511
Open in Google Maps ↗

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 Manor Md 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 20

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

ABBY FRAADE MA
Student in an Organized Health Care Education/Training Program
300 GEORGE ST
NEW HAVEN, CT 06511
South Central Connecticut Planning Region (914) 819-3414
MS. STEFANIE ANNE GENERAO NP
Nurse Practitioner (Family)
300 GEORGE ST
NEW HAVEN, CT 06511
South Central Connecticut Planning Region (916) 734-5538
SHARON STORTZ MD
Obstetrics & Gynecology
300 GEORGE ST
NEW HAVEN, CT 06511
South Central Connecticut Planning Region (203) 785-4851
WILL RUTLAND M.D.
Psychiatry & Neurology (Psychiatry)
300 GEORGE ST, SUITE 901
NEW HAVEN, CT 06511
South Central Connecticut Planning Region (203) 785-2095
DR. TRACEY C WHEELER PSYD
Psychologist (Clinical)
300 GEORGE ST
NEW HAVEN, CT 06511
South Central Connecticut Planning Region (310) 564-6941
MS. SOFIA VI NOORI MD
Psychiatry & Neurology (Psychiatry)
300 GEORGE ST, SUITE 901
NEW HAVEN, CT 06511
South Central Connecticut Planning Region (203) 785-2095
RAJIV RADHAKRISHNAN M.B.B.S., M.D.
Psychiatry & Neurology (Psychiatry)
300 GEORGE ST, SUITE 901
NEW HAVEN, CT 06511
South Central Connecticut Planning Region (203) 903-6736
YALE UNIVERSITY
Psychiatric Unit
300 GEORGE ST, SUITE 901
NEW HAVEN, CT 06511
South Central Connecticut Planning Region (203) 785-2090

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 Manor's NPI number?

The NPI number for Brandon Manor is 1760284343. It was assigned to this individual provider in the NPPES registry on March 25, 2025.

Where is Brandon Manor located?

Brandon Manor practices at 300 George St, New Haven, CT 06511. The listed phone number is (203) 785-2095.

What is Brandon Manor'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 Manor enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Brandon Manor was last updated on March 25, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months 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.