Brandi Marie Walker, PHD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

0810005960 Issued in VA

Practice address

2817 Reilly St BLDG 4-3219
Fort Bragg, NC 28310-7324

Phone

(910) 643-1620

NPI assigned

Mar 5, 2019

Last updated

Mar 5, 2019By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Brandi Walker Henry Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1551744000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1551744000000",
    "number": "1326506734",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 FALCONRIDGE DR",
            "city": "SPRING LAKE",
            "state": "NC",
            "postal_code": "283907192",
            "telephone_number": "703-283-7562"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2817 REILLY ST BLDG 4-3219",
            "city": "FORT BRAGG",
            "state": "NC",
            "postal_code": "283107324",
            "telephone_number": "910-643-1620"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALKER",
        "first_name": "BRANDI",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-03-05",
        "last_updated": "2019-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "VA",
            "license": "0810005960",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BRANDI",
            "last_name": "HENRY",
            "middle_name": "WALKER",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Franklin Devon Waddell, M.D.
• Steven Wade, P.T., A.T.C.
• Kenneth Wadginski
• Vern Alan Wagner
• Paul Allen Walck, PA
• Brooke Dionne Walker, PMHNP
• Rachel Walker, PA-C
• Van Wall
• Brian Leslie Wallace, PT, DPT, OCS
• Gary Rhett Wallace, M.D., FAAFP

• Clinical Psychologist in Fort Bragg, NC
• Providers in Fort Bragg, NC by specialty
• Clinical Psychologist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2019; 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.