Brandon Nawman
Individual provider Active NPI Case Manager/Care Coordinator · Springfield, OH
NPI 1043022940 · NPPES record last updated Jan 27, 2025
Key facts
- NPI
- 1043022940
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Case Manager/Care Coordinator 171M00000X
- License
- CDCA.191129 (OH)
- Practice address
- 2624 Lexington Ave
Springfield, OH 45505-2620 - Phone
- (937) 328-5300
- NPI assigned
- Jan 27, 2025
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CDCA.191129 | OH | MD | Case Manager/Care Coordinator |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | CDCA.191129 | OH | Yes |
Addresses
Primary practice location
2624 Lexington Ave
Springfield, OH 45505-2620
Mailing address
2624 Lexington Ave
Springfield, OH 45505-2620
Phone (937) 328-5300
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All providers in Springfield, OH · Case Manager/Care Coordinator in Ohio
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 27, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.