Brandon A. Prowell, CERTIFIEDHAIRLOSSSPE

Primary specialty

ProsthetistTaxonomy code 224P00000X

License

COS.165572 Issued in OH

Practice address

6505 Mayfield Rd Ste 1062
Mayfield Heights, OH 44124-3216

Phone

(216) 413-9250

NPI assigned

Jun 14, 2021

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

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.

• The Brandon Experience

  • Prosthetic/Orthotic Supplier
  • Mayfield Heights, OH
  • NPI 1528639275

  Prosthetics Case Management

  NPD Authorized official

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

{
    "created_epoch": "1623628800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623628800000",
    "number": "1609444074",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34 LEXINGTON SQ",
            "city": "EUCLID",
            "state": "OH",
            "postal_code": "441432417",
            "telephone_number": "216-965-5895"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6505 MAYFIELD RD STE 1062",
            "city": "MAYFIELD HEIGHTS",
            "state": "OH",
            "postal_code": "441243216",
            "telephone_number": "216-413-9250"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PROWELL",
        "first_name": "BRANDON",
        "middle_name": "A.",
        "credential": "CERTIFIEDHAIRLOSSSPE",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-06-14",
        "last_updated": "2021-06-14",
        "certification_date": "2021-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1744P3200X",
            "taxonomy_group": "",
            "desc": "Specialist, Prosthetics Case Management",
            "state": "OH",
            "license": "COS.165572",
            "primary": false
        },
        {
            "code": "224P00000X",
            "taxonomy_group": "",
            "desc": "Prosthetist",
            "state": "OH",
            "license": "COS.165572",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joelle Popowich, CNP
• Michele Preda, RN
• Valorie Preto
• Leandra Marie Pritchard, PA-C
• Christine Lynn Proudfit, MD
• Elizabeth Purgert, PHARMD.
• Andrea Quaglia Williams, NP
• Kyle Raber, MSN, CRNA
• Rajesh Agarwal MD, LLC
• Victoria C Ranallo, PA-C

• Prosthetist in Mayfield Heights, OH
• Providers in Mayfield Heights, OH by specialty
• Prosthetist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2021; 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.