Brandon Notz

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

2016023128 Issued in MO

Practice address

509 SE Oak Ridge Dr.
Unit a
Oak Grove, MO 64075

Phone

(949) 292-5514

NPI assigned

Aug 31, 2016

Last updated

Aug 31, 2016By the provider in NPPES

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

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

{
    "created_epoch": "1472601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1472601600000",
    "number": "1629524574",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "509 SE OAK RIDGE DR APT A",
            "city": "OAK GROVE",
            "state": "MO",
            "postal_code": "640759290",
            "telephone_number": "949-292-5513"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "509 SE OAK RIDGE DR.",
            "address_2": "UNIT A",
            "city": "OAK GROVE",
            "state": "MO",
            "postal_code": "64075",
            "telephone_number": "949-292-5514"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NOTZ",
        "first_name": "BRANDON",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-08-31",
        "last_updated": "2016-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MO",
            "license": "2016023128",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kurtis Mlinar, DC
• William Patrick Monroe, DC
• N & R of Oak Grove, LLC (Oak Grove Nursing & Rehab)
• Cheryl Ann Needham-Rives, SLP
• Rachel Kathleen Newman
• Oak Grove Chiropractic LLC
• Oak Grove R-6 School Distr
• Staci Nicole Osgood, DDS
• Patriot Rehabilitation, LLC
• R W Consultant

• Registered Nurse in Oak Grove, MO
• Providers in Oak Grove, MO by specialty
• Registered Nurse in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 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.