Active NPI
Brandon Roman
- Counselor
- Reno, NV
National Provider Identifier
1194183566
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- Practice address
- 4055 Gardella Ave
Apt 1413
Reno, NV 89512-1047 - Phone
- (775) 291-9121
- NPI assigned
- Feb 1, 2016
- 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 |
|---|---|---|---|---|
| Counselor | 101Y00000X | Primary |
Addresses
Primary practice location
4055 Gardella Ave
Apt 1413
Reno, NV 89512-1047
Mailing address
4055 Gardella Ave
Apt 1413
Reno, NV 89512-1047
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1454284800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1454284800000",
"number": "1194183566",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4055 GARDELLA AVE",
"address_2": "APT 1413",
"city": "RENO",
"state": "NV",
"postal_code": "895121047"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4055 GARDELLA AVE",
"address_2": "APT 1413",
"city": "RENO",
"state": "NV",
"postal_code": "895121047",
"telephone_number": "775-291-9121"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROMAN",
"first_name": "BRANDON",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2016-02-01",
"last_updated": "2016-02-01",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Reno, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.