Individual provider Active NPI

Brandon Dean Wingate

  • Sonography Radiologic Technologist
  • Murfreesboro, TN
National Provider Identifier
1265796114
Registry record updated Jul 10, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sonography Radiologic TechnologistTaxonomy code 2471S1302X
License
112229 Issued in TN
Practice address
323 Savannah RDG
Murfreesboro, TN 37127-8331
Phone
(615) 306-9298
NPI assigned
Jun 26, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2012

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Radiologic Technologist 247100000X 346808 TN
Sonography Radiologic Technologist 2471S1302X 112229 TN Primary
Vascular Sonography Radiologic Technologist 2471V0105X 112229 TN

Addresses

Primary practice location

323 Savannah RDG
Murfreesboro, TN 37127-8331

Mailing address

323 Savannah RDG
Murfreesboro, TN 37127-8331
Phone (615) 306-9298

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

LicenseStateTypeSpecialty
346808TNMDRadiologic Technologist
112229TNMDSonography Radiologic Technologist

Practice roles

OrganizationSpecialtyStatusNew patients
Wingate Mobile, Inc. Radiologic Technologist Past Accepting new patients

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1340668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1341878400000",
    "number": "1265796114",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "323 SAVANNAH RDG",
            "city": "MURFREESBORO",
            "state": "TN",
            "postal_code": "371278331",
            "telephone_number": "615-306-9298"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "323 SAVANNAH RDG",
            "city": "MURFREESBORO",
            "state": "TN",
            "postal_code": "371278331",
            "telephone_number": "615-306-9298"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WINGATE",
        "first_name": "BRANDON",
        "middle_name": "DEAN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-06-26",
        "last_updated": "2012-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "247100000X",
            "taxonomy_group": "",
            "desc": "Radiologic Technologist",
            "state": "TN",
            "license": "346808",
            "primary": false
        },
        {
            "code": "2471S1302X",
            "taxonomy_group": "",
            "desc": "Radiologic Technologist, Sonography",
            "state": "TN",
            "license": "112229",
            "primary": true
        },
        {
            "code": "2471V0105X",
            "taxonomy_group": "",
            "desc": "Radiologic Technologist, Vascular Sonography",
            "state": "TN",
            "license": "112229",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Murfreesboro, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2012; 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.