BRANDON TRIMBELL (NPI# 1013335223) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013335223 |
| Entity Type | Individual |
| Full Name | BRANDON TRIMBELL |
| Credential | DDS |
| Practice Address |
77 Nealy Avenue 633d Medical Group Joint Base Langley-eustis VA 23665-2040 |
| Practice Telephone | 7572257630 |
| Mailing Telephone | 7572257630 |
| Enumeration Date | 2014-04-03 |
| Last Update Date | 2014-12-05 |
| 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 |
77 NEALY AVENUE 633D MEDICAL GROUP |
| City | JOINT BASE LANGLEY-EUSTIS |
| State | VA |
| Zip Code | 23665-2040 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396732145 | Necia Mcree Pope | Urology | 77 Nealy Avenue, 633d Medical Group, Joint Base Langley-eustis, VA 23665-2040 | 2005-10-05 |
| 1730637224 | Jessica Ballard | Registered Nurse | 77 Nealy Avenue, Joint Base Langley-eustis, VA 23665 | 2016-09-14 |
| 1346634391 | Nelsi Mora | Obstetrics & Gynecology | 77 Nealy Avenue, Joint Base Langley-eustis, VA 23665 | 2015-03-26 |
| 1194121145 | Lucy Knippenberg | Dentist | 77 Nealy Avenue, 633d Medical Group, Joint Base Langley-eustis, VA 23665 | 2014-11-18 |
| 1134523848 | Suzanne Burke Allen | Physical Therapist | 77 Nealy Avenue, 633d Medical Group, Joint Base Langley-eustis, VA 23665-2040 | 2014-10-09 |
| 1720480957 | Lynnette Cipolla | Dental Hygienist | 77 Nealy Avenue, 633d Medical Group, Joint Base Langley-eustis, VA 23665-2040 | 2014-09-18 |
| 1629408521 | Julie Elizabeth Hoegger | Nurse Practitioner | 77 Nealy Avenue, 633d Medical Group, Joint Base Langley-eustis, VA 23661 | 2013-11-14 |
| 1821333048 | Roger Luis Mendez | Pharmacist | 77 Nealy Avenue, 633d Medical Group, Joint Base Langley-eustis, VA 23665-2040 | 2012-11-28 |
| 1851635619 | Kimberly R Moser | Nurse Practitioner | 77 Nealy Avenue, 633d Medical Group, Joint Base Langley-eustis, VA 23665-2040 | 2012-11-19 |
| 1992058317 | Denise Nielson | Speech-Language Pathologist | 77 Nealy Avenue, 633d Medical Group, Joint Base Langley-eustis, VA 23365-2040 | 2012-10-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982228938 | Mai Stern | Student in an Organized Health Care Education/Training Program | Langley Afb Dental Clinic, Hampton, VA 23665 | 2020-06-05 |
| 1386273449 | Nicholas Thomas Nelson | Military Health Care Provider | 633d Medical Group, 76 Nealy Ave, Building #92, Apo, AA 23665 | 2020-04-02 |
| 1316574809 | Kimberly C Easterling | Student in an Organized Health Care Education/Training Program | 76 Nealy Avenue, Joint Base Langley-eustis, Hampton, VA 23665 | 2020-03-24 |
| 1851950026 | Erin Leigh Baldridge | Dentist | Joint Base Langley Eustis Dental Clinic, 76 Nealy Ave, Apo, AA 23665 | 2019-06-11 |
| 1669950739 | Anthony Interrante IIi | Nurse Practitioner | Usaf Hospital Langley, 77 Nealy Avenue, Hampton, VA 23665 | 2018-08-01 |
| 1588189310 | Stacey Marie Jackson | Psychologist | 11 Nealy Blvd, Hampton, VA 23665 | 2017-08-14 |
| 1285062216 | Michael John Vietti | Physician Assistant | 633 Mdg 77 Nealy Ave, Yorktown, VA 23665 | 2013-10-30 |
| 1396182234 | Micaela Jane Dagucon | General Practice | 633d Mdg/sghc, 77 Nealy Avenue, Joint Base Langley-eustis, VA 23665 | 2013-06-02 |
| 1912212051 | Michele Leigh Shirley | Pharmacist | 633d Medical Group Hospital, 77 Nealy Avenue, Building 257, Joint Base Langley-eustis, VA 23665 | 2010-08-13 |
| 1497915219 | Stephen Warren Porter | Dentist | 76 Nealy Ave, 1st Dental Squadron/sgd, Langley Air Force Base, VA 23665 | 2008-06-16 |
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| 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 |
|---|---|---|---|---|
| 1336646520 | Jared Ure | Student in an Organized Health Care Education/Training Program | 76 Nealy Ave, Joint Base Langley-eustis, VA 23365 | 2018-04-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841891520 | Frank Chilli | Student in an Organized Health Care Education/Training Program | 5 Oakland Dr, Newport News, VA 23601-3622 | 2020-11-08 |
| 1386245074 | Jason Schatti | Student in an Organized Health Care Education/Training Program | 1540 Gallery Ave, Virginia Beach, VA 23454-5605 | 2020-11-08 |
| 1407457195 | John Cayo | Student in an Organized Health Care Education/Training Program | 715 Stockley Gdns Apt 1, Norfolk, VA 23507-2025 | 2020-11-08 |
| 1710587712 | Shiela Kaye Chua Crisostomo | Student in an Organized Health Care Education/Training Program | 3916 Gosnold Ave, Norfolk, VA 23508-2916 | 2020-10-28 |
| 1871192500 | Caitie Rae Warren | Student in an Organized Health Care Education/Training Program | 3856 Banyan Grove Ln Apt 102, Virginia Beach, VA 23462-7486 | 2020-10-23 |
| 1487253357 | James Joseph Hansler | Student in an Organized Health Care Education/Training Program | 1795 Saint Andrews Cir, Blacksburg, VA 24060-0252 | 2020-10-22 |
| 1538768726 | Katherine Bailey Smith | Student in an Organized Health Care Education/Training Program | 3535 N Ohio St, Arlington, VA 22207-1337 | 2020-10-20 |
| 1982201760 | Jaime Lyn Van Kirk | Student in an Organized Health Care Education/Training Program | 233 Padgetts Ordinary, Williamsburg, VA 23185-5578 | 2020-10-05 |
| 1548867500 | Daniel Bailey Jr. | Student in an Organized Health Care Education/Training Program | 6211 Gilchrist Ave, Richmond, VA 23231-4723 | 2020-10-02 |
| 1851998041 | Leslie-anne Flego | Student in an Organized Health Care Education/Training Program | 4523 Arendale Sq, Alexandria, VA 22309-1217 | 2020-10-01 |
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| City | JOINT BASE LANGLEY-EUSTIS |
| Zip Code | 23665 |
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| 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.