Michelle D Brandom, PHARM D

Primary specialty

PharmacistTaxonomy code 183500000X

License

21490 Issued in IA

Practice address

830 Middle Rd
Bettendorf, IA 52722-4101

Phone

(563) 355-6908

NPI assigned

May 28, 2013

Last updated

Apr 12, 2023By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Walgreen Co

  dba Walgreens #06553

  • Pharmacy
  • Bettendorf, IA
  • NPI 1376558684
  NPD (past)
• Walgreen Co

  dba Walgreens #21605

  • Pharmacy
  • Longview, TX
  • NPI 1629956545
  NPD (past)

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

{
    "created_epoch": "1369699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681257600000",
    "number": "1164869467",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "830 MIDDLE RD",
            "city": "BETTENDORF",
            "state": "IA",
            "postal_code": "527224101",
            "telephone_number": "563-355-5345",
            "fax_number": "563-355-6908"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "830 MIDDLE RD",
            "city": "BETTENDORF",
            "state": "IA",
            "postal_code": "527224101",
            "telephone_number": "563-355-6908"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "211 1st Street",
            "address_purpose": "LOCATION",
            "city": "Alpha",
            "state": "IL",
            "postal_code": "61413",
            "country_code": "US",
            "telephone_number": "309-629-4506",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRANDOM",
        "first_name": "MICHELLE",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "PHARM D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-05-28",
        "last_updated": "2023-04-12",
        "certification_date": "2021-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "IA",
            "license": "21490",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "mdbrandom@yahoo.com",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "2250 41st St",
            "city": "Moline",
            "state": "IL",
            "country_code": "US",
            "postal_code": "612654504",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Geoffrey Kevan Bowman, M.D.
• Braaten Health LLC
• Braaten Health LLC Dba Midwest Therapy Center
• Braaten Health LLC Dba Midwest Therapy Center
• Braaten Health, LLC
• Rachael Nora Brengman, PA-C
• Karen Ann Brenot, D.O.
• Brewermd PLLC (Honest Wellness Center)
• Andrew David Bries, M.D.
• Fiona Briggs, M.A., CCC-SLP

• Pharmacist in Bettendorf, IA
• Providers in Bettendorf, IA by specialty
• Pharmacist in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 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.