BRANDON JAMES GUSTAFSON
NPI 1952069403
Student in an Organized Health Care Education/Training Program in Mankato, MN

Active since December 01, 2021
228 WIECKING CTR, MANKATO, MN 56001(507) 389-1866 Get Directions Write a Review

NPPES record last updated: December 1, 2021. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Brandon James Gustafson NPPES

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

BRANDON JAMES GUSTAFSON (NPI 1952069403) is an individual student in an organized health care education/training program in Mankato, Minnesota and active in the NPI registry since December 2021.

NPPES Registry Identity

NPI1952069403
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameBRANDON JAMES GUSTAFSON
Location Address228 WIECKING CTRMankato, MN 56001-6062
Mailing Address10220 Palm St NwCoon Rapids, MN 55433-5139 · (763) 439-0947
Sole ProprietorNo
Enumeration DateDecember 1, 2021
NPPES CertifiedDecember 1, 2021
NPI 1952069403 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

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.

Also ListedSpecialist/Technologist · Athletic TrainerTaxonomy 2255A2300X
228 WIECKING CTR, Mankato, MN 56001

Other Providers at the Same Location NPPES

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

Specialist/Technologist (Athletic Trainer)
228 WIECKING CTR
MANKATO, MN 56001

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 Gustafson's NPI number?

The NPI number for Brandon Gustafson is 1952069403. It was assigned to this individual provider in the NPPES registry on December 1, 2021.

Where is Brandon Gustafson located?

Brandon Gustafson practices at 228 Wiecking Ctr, Mankato, MN 56001. The listed phone number is (507) 389-1866.

What is Brandon Gustafson's specialty?

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

When was this NPI record last updated?

The NPPES record for Brandon Gustafson was last updated on December 1, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.