Brandon M Barbery
Individual provider Active NPI Student in an Organized Health Care Education/Training Program · Fort Gordon, GA
NPI 1346988458 · NPPES record last updated Oct 9, 2023
Key facts
- NPI
- 1346988458
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Student in an Organized Health Care Education/Training Program 390200000X
- License
- 97486 (GA)
- Practice address
- 300 East Hospital Road
Fort Gordon, GA 30905-5650 - Phone
- (703) 232-5687
- NPI assigned
- May 27, 2022
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in GA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20231019002049 | GA | Order and Referring Only - Orthopedic Surgery |
2668828195 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 97486 | GA | MD | Student in an Organized Health Care Education/Training Program |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | 97486 | GA | Yes |
| Student in an Organized Health Care Education/Training Program | 390200000X |
Addresses
Primary practice location
300 East Hospital Road
Fort Gordon, GA 30905-5650
Mailing address
300 East Hospital Road
Fort Gordon, GA 30905-5650
Phone (706) 787-1647
Other providers in Fort Gordon, GA
- Mable Devon Atkins
- Olasimbo M Babatope
- Ronette Marie Bailey
- Rodica Balazs
- Rishard Mekel Banks
- Darrell Faubert Barker
- Mark R. Barron
- Madalyn Quinn Bartels
- David Lee Baty
- James Michael Baunchalk
All providers in Fort Gordon, GA · Student in an Organized Health Care Education/Training Program in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 9, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.