BRANDON VINCENT (NPI# 1275092561) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275092561 |
| Entity Type | Individual |
| Full Name | BRANDON VINCENT |
| Practice Address |
1140 N State St Saint Ignace MI 49781-1048 |
| Mailing Address |
10215 Ellsworth Rd East Jordan MI 49727-9128 |
| Practice Telephone | 9066438585 |
| Enumeration Date | 2019-03-15 |
| Last Update Date | 2019-03-15 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
4704268069 | MI | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134665144 | Brandon R Vincent | Audiologist | 100 N University Dr, Box #80, Edmond, OK 73034-5207 | 2017-01-13 |
| Street Address |
1140 N STATE ST |
| City | SAINT IGNACE |
| State | MI |
| Zip Code | 49781-1048 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700866415 | Charlene J Sweeney | Psychiatry & Neurology | 1140 N State St, Saint Ignace, MI 49781-1048 | 2006-01-19 |
| 1144846163 | Nicole Kushner | Student in an Organized Health Care Education/Training Program | 1140 N State St, Saint Ignace, MI 49781-1048 | 2020-06-25 |
| 1295350429 | Shannon Louise Slocum | Nurse Practitioner | 1140 N State St, Saint Ignace, MI 49781-1048 | 2020-06-12 |
| 1750937546 | Thomas Robert Bahra | Pharmacist | 1140 N State St, Saint Ignace, MI 49781-1048 | 2019-08-16 |
| 1871074724 | Rebeckah Zaragoza | Social Worker | 1140 N State St, Saint Ignace, MI 49781 | 2018-08-28 |
| 1659868206 | Mackinac Straits Health System Inc | Clinic/Center | 1140 N State St, Saint Ignace, MI 49781-1048 | 2018-04-19 |
| 1447757208 | Christina Burlak | Social Worker | 1140 N State St, Saint Ignace, MI 49781-1048 | 2018-04-09 |
| 1104322270 | James John Mattson | Physical Therapist | 1140 N State St, Saint Ignace, MI 49781-1048 | 2018-04-05 |
| 1356845663 | Stefanie Mattson | Occupational Therapist | 1140 N State St, Saint Ignace, MI 49781-1048 | 2018-03-21 |
| 1285137356 | Joan Marie Smith | Occupational Therapist | 1140 N State St, Saint Ignace, MI 49781-1048 | 2018-03-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992207658 | Stephanie Vaughn | Occupational Therapist | 783 W Lant Rd, Saint Ignace, MI 49781 | 2018-03-08 |
| 1124548292 | Straits Area Pharamcy Inc | Pharmacy | 1140 North State Street Suite 1500, Saint Ignace, MI 49781 | 2017-06-21 |
| 1265712442 | Elizabeth Ann Fischer | Nurse's Aide | W1037 Hwy 2, Apt 1, St. Ignace, MI 49781 | 2011-08-19 |
| 1902131733 | Great Lakes Recovery Centers, Inc. | Substance Abuse Rehabilitation Facility | 396 N. State Street, 4th Floor, St. Ignace, MI 49781 | 2009-10-13 |
| 1952569378 | Kathryn E Mizzi | Social Worker | 720 W Us-2 Suite D, Saint Ignace, MI 49781 | 2008-06-02 |
| 1174542781 | Edward F Smith | Specialist | 1140 N. State Street, St. Ignace, MI 49781 | 2006-07-18 |
| 1548295959 | David James Thurston | Chiropractor | 135 Bertrand Street, St Ignace, MI 49781 | 2006-07-12 |
| 1326026501 | Susan Herderich Strich | Internal Medicine | 1140 North State Street, Saint Ignace, MI 49781 | 2006-01-06 |
| 1790327518 | Lucas James Thurston | Chiropractor | 135 Bertrand Street, Saint Ignace, MI 49781 | 2019-10-14 |
| 1619419033 | Deborah Narrin | Counselor | 799 Hombach St, Saint Ignace, MI 49781 | 2016-11-16 |
| Find all providers in zip 49781 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295350429 | Shannon Louise Slocum | Nurse Practitioner | 1140 N State St, Saint Ignace, MI 49781-1048 | 2020-06-12 |
| 1609380823 | Lauren Elizabeth Tassier | Nurse Practitioner | 1140 N State St, Saint Ignace, MI 49781-1048 | 2017-11-27 |
| 1801222146 | Tara M Weist | Nurse Practitioner | 1140 N State St, Saint Ignace, MI 49781-1048 | 2013-09-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659972339 | Zeinab Berjaoui | Nurse Practitioner | 11496 Newbern Dr, Warren, MI 48093-2613 | 2020-11-08 |
| 1134720899 | Whitney Ashton Mervau | Nurse Practitioner | 3836 Haven Hill Ln, Williamsburg, MI 49690-9536 | 2020-11-07 |
| 1063013837 | Amy Lynn Wadsworth | Nurse Practitioner | 9259 Chambord Dr, Ypsilanti, MI 48197-9281 | 2020-11-06 |
| 1821699844 | Michelle Daldine | Nurse Practitioner | 38481 Gail St, Clinton Township, MI 48036-1823 | 2020-11-05 |
| 1710588876 | Coty Cole | Nurse Practitioner | 2065 South Center Rd, Ste A, Burton, MI 48519 | 2020-11-05 |
| 1205437175 | Michelle Jo Whitesel | Nurse Practitioner | 5861 Shadow Pines Ct, Howell, MI 48843-7130 | 2020-11-05 |
| 1326649617 | Melinda Lee Hawley | Nurse Practitioner | 4019 Stark Dr, West Branch, MI 48661-9633 | 2020-11-04 |
| 1720689193 | Mohammed Louthfur Rahman | Nurse Practitioner | Hoover Internal Medicine Pllc, 2930 Holbrook St, Hamtramck, MI 48212 | 2020-11-03 |
| 1619578234 | Devon Kruger | Nurse Practitioner | 4612 W David Hwy, Saranac, MI 48881-9740 | 2020-11-02 |
| 1760083208 | Ramonna Van Alstine | Nurse Practitioner | 13932 Fox Ridge Ln, Allenton, MI 48002-4525 | 2020-11-02 |
| Find all providers with the same taxonomy | ||||
| City | SAINT IGNACE |
| Zip Code | 49781 |
Please comment or provide details below to improve the information on BRANDON VINCENT.
| 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.