Timothy Jon Brandenstein

Primary specialty

Social WorkerTaxonomy code 104100000X

License

33009811A Issued in IN

Practice address

1010 N J St
Richmond, IN 47374-1911

Phone

(765) 973-6915

NPI assigned

Oct 22, 2021

Sex

Male

Sole proprietor

Yes

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, last updated by the provider on Oct 22, 2021.

{
    "created_epoch": "1634860800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634860800000",
    "number": "1679237002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1010 N J ST",
            "city": "RICHMOND",
            "state": "IN",
            "postal_code": "473741911",
            "telephone_number": "765-973-6915"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1010 N J ST",
            "city": "RICHMOND",
            "state": "IN",
            "postal_code": "473741911",
            "telephone_number": "765-973-6915"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRANDENSTEIN",
        "first_name": "TIMOTHY",
        "middle_name": "JON",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-10-22",
        "last_updated": "2021-10-22",
        "certification_date": "2021-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "IN",
            "license": "33009811A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nolan Bradshaw
• Stacy L Braff, MD
• Vishwajit Brahmbhatt, MD
• Yetunde Braithwaite, DDS
• Erika Barlow Brandenstein, M.D.
• Cynthia L Brindle, PMHNP-BC
• Makena Brinley, RBT
• Brookdale Senior Living Communities, Inc.
• Katelyn Janae Brown-Minor, DDS
• Brenda Brown

• All providers in Richmond, IN
• Social Worker in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 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.