Jose Marcelo Brandon, MT

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

MA54178 Issued in FL

Practice address

20301 W Country Club Dr Apt 1727
Aventura, FL 33180-1657

Phone

(305) 332-6684

NPI assigned

Sep 27, 2018

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Medical Technician

State licenses

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

{
    "created_epoch": "1538006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1538006400000",
    "number": "1235614033",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20301 W COUNTRY CLUB DR APT 1727",
            "city": "AVENTURA",
            "state": "FL",
            "postal_code": "331801657",
            "telephone_number": "305-332-6684"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20301 W COUNTRY CLUB DR APT 1727",
            "city": "AVENTURA",
            "state": "FL",
            "postal_code": "331801657",
            "telephone_number": "305-332-6684"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRANDON",
        "first_name": "JOSE",
        "middle_name": "MARCELO",
        "credential": "MT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-09-27",
        "last_updated": "2018-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "FL",
            "license": "MA54178",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicole Boswell, DPT
• Constantinos George Boufeas, DO
• Madeline Boulet
• Shanee Aviva Bouskila
• Sabine Bonnet Boyer
• Alan Irwin Braun, MD
• Michael J Braun, MD AND CARDIOLOGY
• Beth Robyn Braver, M.D.
• Brett Christopher Brazen, DO
• Jodi Lyn Brazlavsky, LCSW

• Massage Therapist in Aventura, FL
• Providers in Aventura, FL by specialty
• Massage Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2018; 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.