Tashana Brandon

Individual provider Active NPI Driver · Richmond, VA

NPI 1699470401 · NPPES record last updated Apr 3, 2023

Key facts

NPI
1699470401
Entity type
Individual (NPI type 1)
Primary specialty
Driver 172A00000X
Practice address
417 Plazaview Rd
Richmond, VA 23224-1229
Phone
(804) 539-1828
NPI assigned
Apr 3, 2023
Sex
Female
Sole proprietor
Yes

Organizations & group practices 1

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.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Practice roles

OrganizationSpecialtyStatusNew patients
Durable Transport LLC Current
since Apr 9, 2023
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Driver 172A00000X VA Yes

Addresses

Primary practice location

417 Plazaview Rd
Richmond, VA 23224-1229

Mailing address

417 Plazaview Rd
Richmond, VA 23224-1229
Phone (804) 539-1828

Other providers in Richmond, VA

All providers in Richmond, VA · Driver in Virginia

Sources for this page

Verify at the official NPI Registry.