BRANDON HEREMAN PA NPI 1235919390

NPI Information

NPI: 1235919390
Provider Name: BRANDON HEREMAN, PA
Classification: Physician Assistant - 363AM0700X
Entity Type: Individual

Specialization: Medical

Address:
965 OAKLAND RD STE C
LAWRENCEVILLE, GA
ZIP 30044
Phone: (678) 364-2210
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Brandon Hereman, PA is a medical physician assistant in Lawrenceville, GA. Brandon Hereman, PA NPI is 1235919390. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

965 OAKLAND RD STE C
LAWRENCEVILLE, GA
ZIP 30044-758
Phone: (678) 364-2210

The enumeration date for this NPI number is 10/4/2023 and was last updated on 10/4/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363AM0700X	Physician Assistant	Medical			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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