Brendon Barclay
Individual provider Active NPI Case Manager/Care Coordinator · Atlanta, GA
NPI 1346827433 · NPPES record last updated Mar 25, 2021
Key facts
- NPI
- 1346827433
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Case Manager/Care Coordinator 171M00000X
- Practice address
- 1030 Fayetteville Rd SE
Atlanta, GA 30316-2921 - Phone
- (404) 564-3402
- NPI assigned
- Mar 25, 2021
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | Yes |
Addresses
Primary practice location
1030 Fayetteville Rd SE
Atlanta, GA 30316-2921
Mailing address
3680 Waterford PL
Clarkston, GA 30021-1443
Phone (404) 510-4456
Other practice location 1
3680 Waterford Pl
Clarkston, GA 30021-1443
Phone (404) 510-4456
Other providers in Atlanta, GA
- Ladaisa Barbour
- Scott Allen Barbour
- Zuzana Barbret
- Marisol Barcelo
- Asia Barclay
- Ivan Barclay
- Kara N Barclay
- Deniz Peker Barclift
- Brian Barczak
- James Bard
All providers in Atlanta, GA · Case Manager/Care Coordinator in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 25, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.