Brant Harber, NP-C

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

2017040113 Issued in MO

Practice address

639 Castle Ridge Dr
Ballwin, MO 63021-4464

Phone

(314) 210-9095

NPI assigned

Apr 20, 2021

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1618876800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618876800000",
    "number": "1225619232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "639 CASTLE RIDGE DR",
            "city": "BALLWIN",
            "state": "MO",
            "postal_code": "630214464"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "639 CASTLE RIDGE DR",
            "city": "BALLWIN",
            "state": "MO",
            "postal_code": "630214464",
            "telephone_number": "314-210-9095"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARBER",
        "first_name": "BRANT",
        "credential": "NP-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-04-20",
        "last_updated": "2021-04-20",
        "certification_date": "2021-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "MO",
            "license": "2017040113",
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "MO",
            "license": "2017040113",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MO",
            "license": "2017040113",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Denise Haller
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• Veronica Hamilton
• Natalie Hanalei, FNP-C
• Emma Hanger, DPT
• Joseph Woodrow Harszy, P.T.
• Kathryn Emily Harvey-Feldewerth, DO
• Lauren Hawse, RPH
• Eugene W Hayes, DDS,MS
• Healthline Homecare Agency LLC

• Nurse Practitioner in Ballwin, MO
• Providers in Ballwin, MO by specialty
• Nurse Practitioner in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2021; 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.