DR. BRANDON BRADLEY HERNDON (NPI# 1932736246) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932736246 |
| Entity Type | Individual |
| Full Name | DR. BRANDON BRADLEY HERNDON |
| Credential | MD |
| Practice Address |
1707 N Main St Gainesville FL 32609-3650 |
| Mailing Address |
Po Box 100237 Gainesville FL 32610-3001 |
| Practice Telephone | 3522651234 |
| Practice Fax Number | 3522659584 |
| Mailing Telephone | 3522651234 |
| Mailing Fax Number | 3522659584 |
| Enumeration Date | 2020-03-25 |
| Last Update Date | 2020-04-11 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
1707 N MAIN ST |
| City | GAINESVILLE |
| State | FL |
| Zip Code | 32609-3650 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629606124 | Jack Italiano IIi | Student in an Organized Health Care Education/Training Program | 1707 N Main St, Gainesville, FL 32609-3650 | 2020-03-30 |
| 1730717356 | Keith Hayden Shamrock | Student in an Organized Health Care Education/Training Program | 1707 N Main St, Gainesville, FL 32609-3650 | 2020-03-30 |
| 1346877578 | Dildeep Sangha | Student in an Organized Health Care Education/Training Program | 1707 N Main St, Gainesville, FL 32609-3650 | 2020-03-26 |
| 1750918272 | Austin Jeffrey Gillette | Student in an Organized Health Care Education/Training Program | 1707 N Main St, Gainesville, FL 32609-3650 | 2020-03-25 |
| 1033746342 | Cindy Marie Barbosa Nunez | Student in an Organized Health Care Education/Training Program | 1707 N Main St, Gainesville, FL 32609-3650 | 2020-03-25 |
| 1881221364 | Farah Leclercq | Student in an Organized Health Care Education/Training Program | 1707 N Main St, Gainesville, FL 32609-3650 | 2020-03-25 |
| 1548897135 | Christian Geldi Aguado | Student in an Organized Health Care Education/Training Program | 1707 N Main St, Gainesville, FL 32609-3650 | 2020-03-24 |
| 1063076420 | Vanessa Estela Billingsley | Student in an Organized Health Care Education/Training Program | 1707 N Main St, Gainesville, FL 32609-3650 | 2019-04-30 |
| 1861954000 | Christopher Lee | Student in an Organized Health Care Education/Training Program | 1707 N Main St, Gainesville, FL 32609-3650 | 2019-04-05 |
| 1457812422 | Brendan Koistinen | Student in an Organized Health Care Education/Training Program | 1707 N Main St, Gainesville, FL 32609-3650 | 2019-03-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285244707 | Bright Dme LLC | Durable Medical Equipment & Medical Supplies | 4306 Nw 13th Street, Gainesville, FL 32609 | 2020-08-10 |
| 1144799537 | Kimberly Laverna Peterson | Home Health Aide | 636 Nw 26th Ave Apt 119e, Gainesville, FL 32609 | 2018-11-15 |
| 1548712318 | Rebecca Maligno | Social Worker | 825 Nw 23rd Ave Bldg 3 St A, Gainesville, FL 32609 | 2016-10-27 |
| 1023470960 | Laura J Perry | Counselor | 1707 North Main St, Family Medicine At Main, Gainesville, FL 32609 | 2016-03-21 |
| 1336543131 | Christine Brunetti | Pharmacist | 2500 N. Main St, Gainesville, FL 32609 | 2014-10-22 |
| 1114352713 | Samuel Jones IIi | Pharmacist | 2500 N. Main St., Gainesville, FL 32609 | 2013-09-13 |
| 1912348228 | Timothy Manning Rogers | Pharmacist | 2046 Ne Waldo Road, Room 2227, Gainesville, FL 32609 | 2013-07-15 |
| 1205277514 | Arthur Emrie Wharton | Pharmacist | 2046 Waldo Road, Ne, Suite 2200, Gainesville, FL 32609 | 2013-07-15 |
| 1003102864 | Rocky Mountain Holdings LLC | Ambulance | 4375 Ne 48th Ave, Gainesville, FL 32609 | 2011-06-21 |
| 1760774939 | Kyle Edwin Jersey | Registered Nurse | 1128 Ne 20th Place, Gainesville, FL 32609 | 2011-05-06 |
| Find all providers in zip 32609 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386269397 | Andrew James Herrington | Student in an Organized Health Care Education/Training Program | 2510 Ne 9th St Apt 501, Gainesville, FL 32609-6001 | 2020-06-15 |
| 1679197495 | Colette R Rackleff | Student in an Organized Health Care Education/Training Program | 4240 Nw 129th St, Gainesville, FL 32606-3549 | 2020-06-08 |
| 1821613605 | Andrew Barton | Student in an Organized Health Care Education/Training Program | 1240 Sw 11th Ave Apt B211, Gainesville, FL 32601-8265 | 2020-06-08 |
| 1861016982 | Kate Shannahan | Student in an Organized Health Care Education/Training Program | 4551 Nw 1st Ave, Gainesville, FL 32607-2223 | 2020-06-04 |
| 1790309011 | Michael Massari | Student in an Organized Health Care Education/Training Program | Uf Health 1600 Sw Archer Rd, Gainesville, FL 32610-0001 | 2020-06-02 |
| 1346863396 | Loveneet Kaur | Student in an Organized Health Care Education/Training Program | 7225 Winnipeg Ct, Gainesville, VA 20155-4877 | 2020-05-26 |
| 1326660176 | Lindsay Bouchard | Student in an Organized Health Care Education/Training Program | 6012 Sw 75th Ter Apt 308, Gainesville, FL 32608-5092 | 2020-05-15 |
| 1184245938 | Aaron Scarpa | Student in an Organized Health Care Education/Training Program | Shands Hospital 1600 Sw Archer Rd, Gainesville, FL 32610-0001 | 2020-05-04 |
| 1417578592 | Dylan Jude Ong | Student in an Organized Health Care Education/Training Program | 1329 Sw 16 Street 4th Floor, Gainesville, FL 32610-3424 | 2020-04-30 |
| 1134749591 | Vladislav Korenblit | Student in an Organized Health Care Education/Training Program | 1149 Newell Dr # L3-100, Gainesville, FL 32610-0236 | 2020-04-25 |
| Find all providers in GAINESVILLE | ||||
| City | GAINESVILLE |
| Zip Code | 32609 |
Please comment or provide details below to improve the information on DR. BRANDON BRADLEY HERNDON.
| 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.