Active NPI
Brandy Renee Decourcey
- Nurse's Aide
- Dayton, OH
National Provider Identifier
1346545035
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse's Aide
- License
- A02110
- Practice address
- 7625 Paragon Rd Ste C
Dayton, OH 45459-4063 - Phone
- (877) 480-6398
- NPI assigned
- Jan 11, 2011
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Nurse's Aide | 376K00000X | A02110 | KY | Primary |
Addresses
Primary practice location
7625 Paragon Rd Ste C
Dayton, OH 45459-4063
Mailing address
8404 Ponderosa RDG
Ashland, KY 41102-9034
Phone (606) 369-6334
Other names 1
- Brandy Renee Bradley
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
| License | State | Type | Specialty |
|---|---|---|---|
| A02110 | KY | MD | Nurse's Aide |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Next Medical Staffing | 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.
-
- Nursing Care Agency
- Dayton, OH
- NPI 1588968218
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1294704000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1294704000000",
"number": "1346545035",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8404 PONDEROSA RDG",
"city": "ASHLAND",
"state": "KY",
"postal_code": "411029034",
"telephone_number": "606-369-6334"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7625 PARAGON RD STE C",
"city": "DAYTON",
"state": "OH",
"postal_code": "454594063",
"telephone_number": "877-480-6398"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DECOURCEY",
"first_name": "BRANDY",
"middle_name": "RENEE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-01-11",
"last_updated": "2011-01-11",
"status": "A"
},
"taxonomies": [
{
"code": "376K00000X",
"taxonomy_group": "",
"desc": "Nurse's Aide",
"state": "KY",
"license": "A02110",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "BRANDY",
"last_name": "BRADLEY",
"middle_name": "RENEE",
"credential": "PTA",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Dayton, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.