BRANDON HUMBERGER (NPI# 1366883076) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366883076 |
| Entity Type | Individual |
| Full Name | BRANDON HUMBERGER |
| Practice Address |
2112 North Franklin Drive Suite 2 Washington PA 15301-1530 |
| Mailing Address |
2112 North Franklin Drive Suite 2 Washington PA 15301 |
| Practice Telephone | 7242230579 |
| Mailing Telephone | 7242230579 |
| Mailing Fax Number | 7242230597 |
| Enumeration Date | 2013-07-10 |
| Last Update Date | 2019-12-11 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
DS040213 | PA | Dental Providers |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | 390200000 | PA | Student, Health Care |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 4100 Johnson Rd Ste 203, Steubenville, OH 439522372 | 7402645300 | 7402644548 |
| Street Address |
2112 NORTH FRANKLIN DRIVE SUITE 2 |
| City | WASHINGTON |
| State | PA |
| Zip Code | 15301-1530 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639711526 | Katie Spinneweber | Oral & Maxillofacial Surgery | 2112 North Franklin Drive, Suite 2, Washington, PA 15301 | 2019-10-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629601208 | Tammi Kathleen Hanak | Speech-Language Pathologist | 2212 Shawnee Drive, Address Line 2, Washington, PA 15301 | 2020-02-21 |
| 1922652460 | Shannon Rouse | Nurse Practitioner | 95 Leonard Avenue Building 2 2nd Floor, Washington, PA 15301 | 2019-08-01 |
| 1700352291 | Heather Mcvay PC | Clinic/Center | 2112 North Franklin Dr, Suite 3, Washington, PA 15301 | 2018-10-23 |
| 1689169880 | Oper King | Counselor | 8 Oliver Rd, Oliver Square Suite 116, Uniontown, PA 15301 | 2018-06-29 |
| 1609374701 | Centerville Clinics Inc | Social Worker | 201 Allison Ave, Washington High School, Washington, PA 15301 | 2018-01-24 |
| 1902304009 | Centerville Clinics, Inc. | Social Worker | 50 Scenic Drive, Trinity Middle School, Washington, PA 15301 | 2018-01-24 |
| 1780182873 | Centerville Clinics, Inc | Social Worker | 252 Cameron Road, Trinity East Elementary School, Washington, PA 15301 | 2018-01-24 |
| 1700384807 | Centerville Clinics Inc | Social Worker | 801 East Wheeling St., Washington Park Elementary, Washington, PA 15301 | 2018-01-24 |
| 1992203095 | Centerville Clinics Inc | Social Worker | 2500 South Main St Ext., Trinity South Elementary School, Washington, PA 15301 | 2018-01-24 |
| 1578061784 | Centerville Clinics, Inc. | Social Worker | 225 Midland Drive, Trinity North Elelmentary School, Washington, PA 15301 | 2018-01-23 |
| Find all providers in zip 15301 | ||||
| Taxonomy Code | 1223S0112X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Oral and Maxillofacial Surgery |
| The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215554639 | Dana C. Jackson, Dds., Pllc | Dentist | 2041 Georgia Ave Nw Ste 2066, Washington, DC 20060-0001 | 2020-07-01 |
| 1679125611 | Abel Oral Surgery Associates Pllc | Dentist | 2021 K St Nw Ste 200, Washington, DC 20006-1003 | 2019-07-10 |
| 1770082125 | Capitol Oral, Facial & Implant Surgery Pllc | Dentist | 1325 18th St Nw Ste 203, Washington, DC 20036-6501 | 2018-02-12 |
| 1891115929 | Benjamin O Watkins IIi | Dentist | 2440 M Street, Nw #610, Washington, DC 20037 | 2014-04-16 |
| 1912341074 | Jason Michael Marrazzo | Dentist | 110 Irving St Nw # Ga144, Washington, DC 20010 | 2013-04-19 |
| 1083955264 | Jerry Chiu | Dentist | 460 L St Nw Unit 505, Washington, DC 20001-2554 | 2013-03-12 |
| 1295055762 | Farzaneh Rostami | Dentist | 1145 19th St Nw Ste 777, Washington, DC 20036-3744 | 2010-06-08 |
| 1265662985 | Allen Anthony Robinson | Dentist | 2440 M St Nw Ste 807, Washington, DC 20037-1475 | 2009-07-15 |
| 1740429646 | Frances Emelia Sam | Dentist | 600 W St Nw Rm 424, Washington, DC 20059-0001 | 2009-02-17 |
| 1740475979 | Daniel Napoleon Howard Jr. | Dentist | 641 G St Sw, Washington, DC 20024-2451 | 2007-09-11 |
| Find all providers in WASHINGTON | ||||
| City | WASHINGTON |
| Zip Code | 15301 |
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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.