Active NPI
W S Brandon Mortuary
- Funeral Director
- Cleveland, MS
National Provider Identifier
1043310279
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Funeral Director
- Legal business name
- W S BRANDON MORTUARY
- Practice address
- 211 N Pearman Ave
Pob 145
Cleveland, MS 38732-2633 - Phone
- (662) 846-7960
- Fax
- (662) 846-7962
- NPI assigned
- Sep 25, 2006
- Last updated
- Aug 22, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Wendell Brandon
- Title
- Owner
- Phone
- (662) 846-7960
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Funeral Director | 176P00000X | MS | Primary |
Addresses
Primary practice location
211 N Pearman Ave
Pob 145
Cleveland, MS 38732-2633
Mailing address
211 N Pearman Ave
Pob 145
Cleveland, MS 38732-2633
Phone (662) 846-7960
National Provider Directory
National Provider DirectoryLocations
211 N Pearman Ave
Cleveland, MS 38732
Phone (662) 846-7960
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159142400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1043310279",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "211 N PEARMAN AVE",
"address_2": "POB 145",
"city": "CLEVELAND",
"state": "MS",
"postal_code": "387322633",
"telephone_number": "662-846-7960",
"fax_number": "662-846-7962"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "211 N PEARMAN AVE",
"address_2": "POB 145",
"city": "CLEVELAND",
"state": "MS",
"postal_code": "387322633",
"telephone_number": "662-846-7960",
"fax_number": "662-846-7962"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "W S BRANDON MORTUARY",
"organizational_subpart": "NO",
"enumeration_date": "2006-09-25",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "BRANDON",
"authorized_official_first_name": "WENDELL",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "662-846-7960"
},
"taxonomies": [
{
"code": "176P00000X",
"taxonomy_group": "",
"desc": "Funeral Director",
"state": "MS",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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- Walgreen Co (Walgreens #09896)
- Kanesha Walker, LPC, NCC
- Reagan Lyndsey Walker, FNP-C
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.