Cornelius Brandon

Primary specialty

DriverTaxonomy code 172A00000X

License

T62214901 Issued in VA

Practice address

1726 Norwood Ave
South Boston, VA 24592-1732

Phone

(434) 575-1191

Fax

(434) 575-1231

NPI assigned

Mar 4, 2016

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

State licenses

Practice roles

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.

• 3 T'S Transport LLC

  • Non-emergency Medical Transport (VAN)
  • South Boston, VA
  • NPI 1497460224
  NPD Authorized official
• Queen Mae Holding Company LLC

  • Non-emergency Medical Transport (VAN)
  • Callands, VA
  • NPI 1265200604
  NPD Authorized official

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

{
    "created_epoch": "1457049600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1457049600000",
    "number": "1447610282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1726 NORWOOD AVE",
            "city": "SOUTH BOSTON",
            "state": "VA",
            "postal_code": "245921732",
            "telephone_number": "434-575-1191",
            "fax_number": "434-575-1231"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1726 NORWOOD AVE",
            "city": "SOUTH BOSTON",
            "state": "VA",
            "postal_code": "245921732",
            "telephone_number": "434-575-1191",
            "fax_number": "434-575-1231"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRANDON",
        "first_name": "CORNELIUS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-03-04",
        "last_updated": "2016-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172A00000X",
            "taxonomy_group": "",
            "desc": "Driver",
            "state": "VA",
            "license": "T62214901",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer N Bohanon
• Michelle Annette Bolgiano, OTR/L
• Rodney Bowen
• Felicia Jeanette Bowman, LCSW
• Boydton Community Health Facility Inc
• Chandler Bridgers, PA
• Bridget McDowell Brown, DDS
• Roger W Browne, MD
• Dante De Los Santos Bruno, MD
• Building Block, LLC

• Driver in South Boston, VA
• Providers in South Boston, VA by specialty
• Driver in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2016; 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.