Marilyn Joyce Brandon

Primary specialty

DriverTaxonomy code 172A00000X

Practice address

1617 Stone Canyon Dr
Roseville, CA 95661-4041

Phone

(916) 397-0584

Fax

(916) 783-0415

NPI assigned

Jun 11, 2008

Sex

Female

Sole proprietor

Yes

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

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

{
    "created_epoch": "1213142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1213142400000",
    "number": "1497915631",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1617 STONE CANYON DR",
            "address_2": "P. O. BOX 26",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "956614041",
            "telephone_number": "916-397-0584",
            "fax_number": "916-783-0415"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1617 STONE CANYON DR",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "956614041",
            "telephone_number": "916-397-0584",
            "fax_number": "916-783-0415"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRANDON",
        "first_name": "MARILYN",
        "middle_name": "JOYCE",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-06-11",
        "last_updated": "2008-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172A00000X",
            "taxonomy_group": "",
            "desc": "Driver",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emily Bradshaw, CCC-SLP
• Kristy D. Brady, M.S. CCC-SLP
• Cheryl Ann Branch, FNP
• Casey N Brandel
• John Branderhorst, LMFT
• Simran Brar, M.D.
• Upavandeep Singh Brar
• Anne S Braunstein, M.D.
• Bravo One, Inc. (Miracle-Ear)
• Joshua Aaron Bray, DC

• Driver in Roseville, CA
• Providers in Roseville, CA by specialty
• Driver in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2008; 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.