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BRANDON JAMAR PETTIS
NPI 1922963560
Home Health Aide in Omaha, NE

Active since December 17, 2025

NPPES record last updated: December 17, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Brandon Jamar Pettis NPPES

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

BRANDON JAMAR PETTIS (NPI 1922963560) is an individual home health aide in Omaha, Nebraska and active in the NPI registry since December 2025.

NPPES Registry Identity

NPI1922963560
Entity TypeIndividualMale
Primary Taxonomy374U00000X
Provider Legal NameBRANDON JAMAR PETTIS
Location Address4324 OHIO STOmaha, NE 68111-3444
Mailing Address4324 Ohio StOmaha, NE 68111-3444 · (531) 232-3299
Phone(531) 323-3299
Sole ProprietorYes
Enumeration DateDecember 17, 2025
NPPES CertifiedDecember 17, 2025
✔ NPI 1922963560 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyHome Health AideNursing Service Related Providers
Taxonomy Code374U00000X
Definition
A person trained to assist public health nurses, home health nurses, and other health professionals in the bedside care of patients in their homes.
4324 OHIO ST, Omaha, NE 68111
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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

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 Pettis's NPI number?

The NPI number for Brandon Pettis is 1922963560. It was assigned to this individual provider in the NPPES registry on December 17, 2025.

Where is Brandon Pettis located?

Brandon Pettis practices at 4324 Ohio St, Omaha, NE 68111. The listed phone number is (531) 323-3299.

What is Brandon Pettis's specialty?

The primary specialty registered for this NPI is Home Health Aide with taxonomy code 374U00000X.

When was this NPI record last updated?

The NPPES record for Brandon Pettis was last updated on December 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.