DEBRA K BRANDENBERGER (NPI# 1063412419) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063412419 |
| Entity Type | Individual |
| Full Name | DEBRA K BRANDENBERGER |
| Credential | NP |
| Practice Address |
700 Broadway 2nd Floor Fort Wayne IN 46802-1402 |
| Mailing Address |
2518 E Dupont Rd Fort Wayne IN 46825-1675 |
| Practice Telephone | 2604249000 |
| Practice Fax Number | 2604253029 |
| Mailing Telephone | 2604324400 |
| Mailing Fax Number | 2609696833 |
| Enumeration Date | 2005-07-28 |
| Last Update Date | 2018-01-31 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
71000773A | IN | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | 200262070 | 05 |
| Street Address |
700 BROADWAY 2ND FLOOR |
| City | FORT WAYNE |
| State | IN |
| Zip Code | 46802-1402 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104825140 | Select Specialty Hospital - Fort Wayne Inc | Long Term Care Hospital | 700 Broadway, 7th Fl East, Fort Wayne, IN 46802-1402 | 2005-07-20 |
| 1598395238 | Werner R Wolff | Nurse Practitioner | 700 Broadway, Fort Wayne, IN 46802-1402 | 2020-01-22 |
| 1477114312 | Mandy Onguta | Nurse Practitioner | 700 Broadway, Fort Wayne, IN 46802-1402 | 2019-06-21 |
| 1609386416 | Kelly Marie Snyder | Occupational Therapy Assistant | 700 Broadway, Fort Wayne, IN 46802-1402 | 2017-10-06 |
| 1851759922 | Faysal Massarweh | Internal Medicine | 700 Broadway, Fort Wayne, IN 46802-1402 | 2016-02-04 |
| 1689041451 | Christine Montanaro | Registered Nurse | 700 Broadway, Fort Wayne, IN 46802-1402 | 2015-08-28 |
| 1265825178 | Mary Bullis | Nurse Practitioner | 700 Broadway, Fort Wayne, IN 46802-1402 | 2015-03-17 |
| 1366883068 | Niroshan Kirupananthan | Internal Medicine | 700 Broadway, Fort Wayne, IN 46802-1402 | 2013-07-10 |
| 1548552375 | Musa Abdalla | Family Medicine | 700 Broadway, Fort Wayne, IN 46802-1402 | 2011-05-12 |
| 1366754616 | Darnell J Brown | Surgery | 700 Broadway, Fort Wayne, IN 46802-1402 | 2010-07-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568084416 | Renaissance Counseling Center,llc | Community/Behavioral Health | 1210 Guthrie St, Fort Wayne, IN 46802 | 2020-05-14 |
| 1699260182 | Tina Huffman Counseling Services LLC | Clinic/Center | 2323 111 W. Berry St., Fort Wayne, IN 46802 | 2018-06-27 |
| 1669879664 | Neighborhood Health Clinics, Inc | Clinic/Center | 1721 S Calhoun St, Fort Wayne, IN 46802 | 2014-11-20 |
| 1205272168 | Tyler Jerome Kimmel | Dentist | 1717 S. Calhoun Street, Fort Wayne, IN 46802 | 2013-05-20 |
| 1174899405 | Hearcare Connection, Inc. | Audiologist | 130 W Main St Ste 150, Fort Wayne, IN 46802 | 2012-03-30 |
| 1801114533 | Hoosier Sports & Chiropractic LLC | Chiropractor | 122 W Wayne Street, Fort Wayne, IN 46802 | 2010-05-05 |
| 1891912523 | Krista Lohmar | Speech-Language Pathologist | 3340 North Washington Road, Ft. Wayne, IL 46802 | 2007-04-20 |
| 1811047608 | Catholic Charities of The Diocese of Fort Wayne-south Bend, Inc. | Counselor | 915 South Clinton, Fort Wayne, IN 46802 | 2007-01-12 |
| 1548323801 | Clifford T Salk | Dentist | 122 W Washington Blvd, Fort Wayne, IN 46802 | 2006-12-18 |
| 1720155492 | Kristina Wise | Social Worker | 203 W Wayne St Ste 317, Fort Wayne, IN 46802 | 2006-11-29 |
| Find all providers in zip 46802 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548626229 | Tina Duncan | Nurse Practitioner | 6732 Covington Creek Trl, Fort Wayne, IN 46804-2870 | 2016-01-11 |
| 1538486691 | Rounding Providers | Nurse Practitioner | 14411 Smugglers Notch, Fort Wayne, IN 46814-8701 | 2010-04-29 |
| 1245428366 | Damon Greven | Nurse Practitioner | 2512 E Dupont Rd Ste 100, Fort Wayne, IN 46825-1609 | 2007-10-15 |
| 1467658740 | Kimberly E Recht | Nurse Practitioner | 11108 Parkview Circle, Suite 5100, Fort Wayne, IN 46845 | 2007-06-25 |
| 1083827539 | Ruth Elaine Wartell | Nurse Practitioner | 8107 Tranquilla Pl, Fort Wayne, IN 46815-5781 | 2007-05-08 |
| 1285756874 | Timothy John Murphy | Nurse Practitioner | 3617 Rockwood Dr, Fort Wayne, IN 46815-6144 | 2007-04-04 |
| 1962490839 | Peggy A Ryan | Nurse Practitioner | 3512 Stellhorn Rd, Fort Wayne, IN 46815-4631 | 2005-10-13 |
| 1265095897 | Ashley Kamea Lynn Brown | Nurse Practitioner | 6326 Constitution Dr, Fort Wayne, IN 46804-1518 | 2019-04-18 |
| 1104398833 | Jessica Marie Bolton | Nurse Practitioner | 3512 Stellhorn Rd, Fort Wayne, IN 46815 | 2018-12-19 |
| 1750868568 | Shannon E Sitgreaves | Nurse Practitioner | 3512 Stellhorn Rd, Fort Wayne, IN 46815-4631 | 2018-07-24 |
| Find all providers in FORT WAYNE | ||||
| City | FORT WAYNE |
| Zip Code | 46802 |
Please comment or provide details below to improve the information on DEBRA K BRANDENBERGER.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.