Active NPI
Brandon Unger
- Specialist
- Sidney, OH
National Provider Identifier
1144629973
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- SP 8904
- Practice address
- 18800 Johnston Rd
Sidney, OH 45365-9755 - Phone
- (937) 492-5930
- NPI assigned
- Aug 18, 2014
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | SP 8904 | OH | Primary |
Addresses
Primary practice location
18800 Johnston Rd
Sidney, OH 45365-9755
Mailing address
121 S Opera St
Bellefontaine, OH 43311-2057
Phone (937) 498-1354
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SP 8904 | OH | MD | Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1408320000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1408320000000",
"number": "1144629973",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "121 S OPERA ST",
"city": "BELLEFONTAINE",
"state": "OH",
"postal_code": "433112057",
"telephone_number": "937-498-1354"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18800 JOHNSTON RD",
"city": "SIDNEY",
"state": "OH",
"postal_code": "453659755",
"telephone_number": "937-492-5930"
}
],
"practiceLocations": [],
"basic": {
"last_name": "UNGER",
"first_name": "BRANDON",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2014-08-18",
"last_updated": "2014-08-18",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "OH",
"license": "SP 8904",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sidney, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.