Brandon Herbert

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

13765 Issued in TN

Practice address

11680 Highway 51 S # A1
Atoka, TN 38004-7604

Phone

(901) 837-0994

NPI assigned

Nov 23, 2021

Sex

Male

Sole proprietor

No

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.

• JH & Associates, LLC

  • Speech-Language Pathologist
  • Germantown, TN
  • NPI 1972808301
  NPD (past)

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Nov 23, 2021.

{
    "created_epoch": "1637625600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1637625600000",
    "number": "1861159998",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6600 STAGE RD STE 129",
            "city": "BARTLETT",
            "state": "TN",
            "postal_code": "381343838",
            "telephone_number": "901-837-0994"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11680 HIGHWAY 51 S # A1",
            "city": "ATOKA",
            "state": "TN",
            "postal_code": "380047604",
            "telephone_number": "901-837-0994"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERBERT",
        "first_name": "BRANDON",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-11-23",
        "last_updated": "2021-11-23",
        "certification_date": "2021-11-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TN",
            "license": "13765",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Elizabeth Griffith, M.A.ED.
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• Preston Lynn Haycraft, PTA
• Lindsey Henson, PHARM. D.
• Home Away Property Management LLC
• Erin Detter Hope, DPT
• In & Out Medical
• Inner Sanctuary Counseling LLC
• Kadarius Jack, DPT

• All providers in Atoka, TN
• Physical Therapist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 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.