Brandon Clark Carter

Primary specialty

NutritionistTaxonomy code 133N00000X

License

150122417 Issued in WV

Practice address

27 Brentwood St
Martinsburg, WV 25404-7531

Phone

(304) 995-8074

NPI assigned

Jul 20, 2018

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1532044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1532044800000",
    "number": "1497232680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "311 PENDLETON LN",
            "city": "STRASBURG",
            "state": "VA",
            "postal_code": "226572187",
            "telephone_number": "304-995-8074"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27 BRENTWOOD ST",
            "city": "MARTINSBURG",
            "state": "WV",
            "postal_code": "254047531",
            "telephone_number": "304-995-8074"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARTER",
        "first_name": "BRANDON",
        "middle_name": "CLARK",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-07-20",
        "last_updated": "2018-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133NN1002X",
            "taxonomy_group": "",
            "desc": "Nutritionist, Nutrition, Education",
            "state": "WV",
            "license": "150122417",
            "primary": false
        },
        {
            "code": "133N00000X",
            "taxonomy_group": "",
            "desc": "Nutritionist",
            "state": "WV",
            "license": "150122417",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chani Carroll, BA
• Christopher Carroll
• Melissa Carroll, RRT
• Tabitha P Carroll, SPEECH PATHOLOGIST
• Emma Carson, SLP
• Elizabeth Carter, MSW, LMSW
• Katelynn Carter
• Lisa Carter
• Saundra Carter
• Tracy Ellen Carter, M.S., L.C.P.C.

• Nutritionist in Martinsburg, WV
• Providers in Martinsburg, WV by specialty
• Nutritionist in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 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.