BRANDON PATRICK HARRIS (NPI# 1114258209) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114258209 |
| Entity Type | Individual |
| Full Name | BRANDON PATRICK HARRIS |
| Credential | O.D. |
| Practice Address |
19 Sudan St # 2 Dorchester MA 02125-1319 |
| Practice Telephone | 3609616074 |
| Mailing Telephone | 3609616074 |
| Enumeration Date | 2010-01-29 |
| Last Update Date | 2010-01-29 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164078267 | Brandon Lee Harris | Specialist | 1666 Sw Bayshore Blvd, Port St Lucie, FL 34984-3568 | 2019-08-14 |
| 1548714314 | Brandon Harris | Counselor | 5560 Pacific Blvd, 409, Boca Raton, FL 33433-6739 | 2016-08-10 |
| 1043464951 | Brandon Harris | Anesthesiology | 4881 Sugar Maple Dr # Drivea, Wright Pat, OH 45433-5529 | 2008-11-06 |
| 1508486689 | Brandon Harris | Peer Specialist | 4930 Naples St, San Diego, CA 92110-3820 | 2020-04-20 |
| 1467010991 | Brandon Harris | Dentist | 10503 W Thunderbird Blvd Ste 371, Sun City, AZ 85351-2721 | 2019-05-30 |
| 1326505652 | Brandon Michael Harris | Counselor | 338 Highway 99 N, Eugene, OR 97402-2404 | 2019-02-22 |
| 1053884015 | Brandon A. Harris | Specialist/Technologist, Other | 1 Sugar Creek Center Blvd Ste 618, Sugar Land, TX 77478 | 2019-01-02 |
| 1437644630 | Brandon Harris | Student in an Organized Health Care Education/Training Program | 1600 Medical Center Dr Ste 2000, Huntington, WV 25701-3656 | 2018-06-29 |
| 1790281194 | Brandon Harris | Case Manager/Care Coordinator | 624 Market Ave N, Canton, OH 44702-1017 | 2018-04-04 |
| 1184157463 | Brandon Harris | Pharmacist | 2744 Washington Rd, Augusta, GA 30909-2218 | 2017-04-04 |
| Street Address |
19 SUDAN ST # 2 |
| City | DORCHESTER |
| State | MA |
| Zip Code | 02125-1319 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922520840 | Aj Guerrero | Counselor | 6 Glen St. #3, Boston, MA 02125 | 2017-07-12 |
| 1982059218 | Ana Fernandez | Psychologist | University of Massachusetts, Boston, 100 William T. Morrissey Blvd, Boston, MA 02125 | 2016-04-23 |
| 1558725184 | Algecira Garcia-ortiz | Massage Therapist | 12 Judson St, Dorchester, MASSACHUSETTS 02125 | 2016-04-10 |
| 1508251414 | Sing Hong Ty | Registered Nurse | 415 Colombia Rd, Dorchester, MA 02125 | 2015-03-30 |
| 1972806750 | Joanne Pomales | Counselor | 18 Harbor Crest Court 102, Dorchester, MA 02125 | 2010-12-16 |
| 1386969335 | Kara Jillian Sheridan | Counselor | 58 Dorset St, Boston, MA 02125 | 2010-04-02 |
| 1750533956 | Wendy M. Jern | Physical Therapist | 21riley Rd #2, Hyde Park, MA 02125 | 2008-10-21 |
| 1174729743 | Payton Brandyberry | Counselor | 500 Columbia Rd, Mail Stop 415-05, Upham's Corner Health Center, Dorchester, MA 02125 | 2007-06-21 |
| 1699817247 | Dong Lan Corporation | Pharmacist | 1167 A Dorchester Ave, Dorchester, MA 02125 | 2007-02-12 |
| 1457490153 | Sarah L Merin | Social Worker | Upham's Corner Health Center, 500 Columbia Rd, Mailstop 415-05, Dorchester, MA 02125 | 2007-02-06 |
| Find all providers in zip 02125 | ||||
| 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 |
|---|---|---|---|---|
| 1356957849 | Alaa Khoja | Student in an Organized Health Care Education/Training Program | 66 Beach Point Pl Apt 506, Dorchester, MA 02125-3559 | 2020-09-20 |
| 1508388091 | Nicole Alison Schick | Student in an Organized Health Care Education/Training Program | 50 Redfield St Ste 306, Dorchester, MA 02122-3653 | 2017-07-17 |
| 1841734449 | Mario Alejandro Molina Condal | Student in an Organized Health Care Education/Training Program | 107 Neponset Ave, Unit #2, Dorchester, MA 02122-3323 | 2016-12-15 |
| 1447673058 | Ann Marie Kennedy | Student in an Organized Health Care Education/Training Program | 33 Whitman St, 1r, Dorchester, MA 02124-4428 | 2014-02-03 |
| 1326487539 | Jessica Andrade | Student in an Organized Health Care Education/Training Program | 50 Redfield St Fl 3, Dorchester, MA 02122-3630 | 2013-06-20 |
| 1104164680 | Casey Martins | Student in an Organized Health Care Education/Training Program | 88 Nightingale St, Dorchester, MA 02124-1706 | 2013-01-18 |
| 1295045607 | Daniel Noel | Student in an Organized Health Care Education/Training Program | 28 Doris St, Dorchester, MA 02125-1426 | 2010-10-19 |
| 1114251709 | Monique M Roumo | Student in an Organized Health Care Education/Training Program | 31 Longfellow St, Apt. 3, Dorchester, MA 02122-1507 | 2009-09-29 |
| 1184233652 | Phillip Reason | Student in an Organized Health Care Education/Training Program | 12 Southern Ave, Dorchester, MA 02124-2012 | 2020-07-30 |
| 1417575390 | Melissa Anne Bloom | Student in an Organized Health Care Education/Training Program | 50 Redfield St, Dorchester, MA 02122-3630 | 2020-07-08 |
| Find all providers in DORCHESTER | ||||
| City | DORCHESTER |
| Zip Code | 02125 |
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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.