Larry J Brandon

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Practice address

1575 W University Dr Ste 111
Tempe, AZ 85281-3283

Phone

(480) 687-9009

NPI assigned

Jan 19, 2023

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1674086400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674086400000",
    "number": "1023723475",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1575 W UNIVERSITY DR STE 111",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852813283",
            "telephone_number": "480-687-9009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1575 W UNIVERSITY DR STE 111",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852813283",
            "telephone_number": "480-687-9009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRANDON",
        "first_name": "LARRY",
        "middle_name": "J",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-01-19",
        "last_updated": "2023-01-19",
        "certification_date": "2023-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "AZ",
            "license": "CSLG12168",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary Elizabeth Braham, ANPC
• Taylor Cunha Branaghan
• Ashton Phillip Branca
• Katie Branch, NMD
• Justin Edward Brandau, D.C.
• Rebecca D Branstetter, LPC
• Marc Braslow, DDS
• Christine Marie Brass-Jones, D.O.
• Julie Brass, OT
• Anthony Bratko

• Community/Behavioral Health Agency in Tempe, AZ
• Providers in Tempe, AZ by specialty
• Community/Behavioral Health Agency in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.