BRANDON WAYNE HARRISON
NPI 1861331357
Student in an Organized Health Care Education/Training Program in Green Bay, WI

Q: What is Brandon Harrison's NPI number?

The NPI number for Brandon Harrison is 1861331357. It was assigned to this individual provider in the NPPES registry on March 27, 2026.

Q: What is Brandon Harrison's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Q: When was this NPI record last updated?

The NPPES record for Brandon Harrison was last updated on March 27, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

Active since March 27, 2026PECOS Enrolled

3021 VOYAGER DR, GREEN BAY, WI 54311(920) 431-1810 Get Directions Write a Review

NPPES record last updated: March 27, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

On this page

About Brandon Wayne Harrison NPPES

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

BRANDON WAYNE HARRISON (NPI 1861331357) is an individual student in an organized health care education/training program in Green Bay, Wisconsin and active in the NPI registry since March 2026. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1861331357

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameBRANDON WAYNE HARRISON

Location Address3021 VOYAGER DRGreen Bay, WI 54311-8303

Mailing Address3021 Voyager DrGreen Bay, WI 54311-8303 · (920) 431-1810

Phone(920) 431-1810

Sole ProprietorNo

Enumeration DateMarch 27, 2026

NPPES CertifiedMarch 26, 2026

✔ NPI 1861331357 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.

3021 VOYAGER DR, Green Bay, WI 54311

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 Wayne Harrison 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.

Leave this field empty

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.

DR. SARA CHEEMA MD

Student in an Organized Health Care Education/Training Program