Brandon Jamal Chin

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Practice address

2490 Lee Blvd
Cleveland Heights, OH 44118-1268

Phone

(216) 600-5194

NPI assigned

Feb 11, 2020

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

Electronic endpoints 1

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": "1581379200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581379200000",
    "number": "1700418324",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2490 LEE BLVD",
            "city": "CLEVELAND HEIGHTS",
            "state": "OH",
            "postal_code": "441181268"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2490 LEE BLVD",
            "city": "CLEVELAND HEIGHTS",
            "state": "OH",
            "postal_code": "441181268",
            "telephone_number": "216-600-5194"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHIN",
        "first_name": "BRANDON",
        "middle_name": "JAMAL",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-02-11",
        "last_updated": "2020-02-11",
        "certification_date": "2020-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "OH",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "2490",
            "affiliation": "N",
            "endpointDescription": "0ffice",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "2490 Lee Blvd",
            "city": "Cleveland",
            "state": "OH",
            "country_code": "US",
            "postal_code": "441181268",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Shante Chambliss, FNP-C
• Katelyn Chandler
• Jontez Chaney-McClarin
• Wilhelmina Charles
• Roopa K Chavda, M.D
• Jodi Lynne Chumita, BA
• Christine Riczo Cifranic, P.A.-C.
• Cynthia Greidele Clark, LPN
• Kyle Warner Clark, D.M.D.
• Shayla Clark, LSW, CDCA

• Case Manager/Care Coordinator in Cleveland Heights, OH
• Providers in Cleveland Heights, OH by specialty
• Case Manager/Care Coordinator in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2020; 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.