Brandon Royce Gardner

Primary specialty

Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X

Practice address

32405 Diagonal Rd
Hermiston, OR 97838-7503

Phone

(541) 567-2593

Fax

(888) 977-2106

NPI assigned

Dec 6, 2024

Sex

Male

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": "1733443200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733443200000",
    "number": "1548076383",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32405 DIAGONAL RD",
            "city": "HERMISTON",
            "state": "OR",
            "postal_code": "978387503",
            "telephone_number": "541-567-2593"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32405 DIAGONAL RD",
            "city": "HERMISTON",
            "state": "OR",
            "postal_code": "978387503",
            "telephone_number": "541-567-2593",
            "fax_number": "888-977-2106"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARDNER",
        "first_name": "BRANDON",
        "middle_name": "ROYCE",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-12-06",
        "last_updated": "2024-12-06",
        "certification_date": "2024-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah Galvez
• Jodi Garberg, MPT
• Elizabeth Garcia
• Virginia Garcia
• Audriana Petra Garcilazo
• Shellie Renee Garibo Munoz, LMT
• Annalissa Garza
• Brittany England Gerritz, RN
• Stacey Gersbach
• Joseph R Gifford, M.D.

• Substance Abuse Rehabilitation Facility in Hermiston, OR
• Providers in Hermiston, OR by specialty
• Substance Abuse Rehabilitation Facility in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2024; 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.