Brandon Michael Gill, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

876337 Issued in TX

Practice address

19153 Honeysuckle Dr.
Flint, TX 75762

Phone

(903) 216-6337

NPI assigned

Apr 24, 2018

Last updated

Apr 24, 2018By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1524528000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1524528000000",
    "number": "1437647690",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19153 HONEYSUCKLE DR.",
            "city": "FLINT",
            "state": "TX",
            "postal_code": "75762",
            "telephone_number": "903-216-6337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19153 HONEYSUCKLE DR.",
            "city": "FLINT",
            "state": "TX",
            "postal_code": "75762",
            "telephone_number": "903-216-6337"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GILL",
        "first_name": "BRANDON",
        "middle_name": "MICHAEL",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-04-24",
        "last_updated": "2018-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TX",
            "license": "876337",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Flint Dental Group (Creekside Dental)
• Tierny Foard, LMFT-A
• Yatasca Fountain-London, COTA
• Kimberly Christine Fowler, LPC
• Ronald Gilbert, NP-C
• Emily Shea Glaspie, PHARMD
• Makesha Deann Glenn
• Theodore Israel Gould, MD
• Bonnie Rose Haley
• Mary Hayden, LVN

• Registered Nurse in Flint, TX
• Providers in Flint, TX by specialty
• Registered Nurse in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2018; 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.