BRANDON ROSE (NPI# 1457601320) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457601320 |
| Entity Type | Individual |
| Full Name | BRANDON ROSE |
| Credential | M.ED |
| Practice Address |
314 Nw 5th St Ste 314 Okeechobee FL 34972-2565 |
| Mailing Address |
1300 Sw 83rd Ave Okeechobee FL 34974-3361 |
| Practice Telephone | 3047846689 |
| Mailing Telephone | 8635321786 |
| Enumeration Date | 2012-09-18 |
| Last Update Date | 2013-01-17 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942606108 | Brandon Lee Rose | Assisted Living Facility | 9207 Mammath Peak Cir, Stockton, CA 95212-3212 | 2014-11-14 |
| 1275180895 | Brandon Rose | Behavior Technician | 1055 E Colorado Blvd Ste 560, Pasadena, CA 91106-2380 | 2019-08-19 |
| 1548828064 | Brandon Rose | Counselor | 1575 Washington St, Watertown, NY 13601-9371 | 2019-05-30 |
| 1700391604 | Brandon Rose | Social Worker | 5673 Airport Rd, Roanoke, VA 24012-1119 | 2017-12-13 |
| 1255623807 | Brandon Keith Rose | Internal Medicine | 3200 Maccorkle Ave Se Fl 4, Charleston, WV 25304-1227 | 2011-05-13 |
| Street Address |
314 NW 5TH ST STE 314 |
| City | OKEECHOBEE |
| State | FL |
| Zip Code | 34972-2565 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093332439 | Jennifer Elisha Tillman | Case Manager/Care Coordinator | 304 Nw 5th St Plaza 300, Okeechobee, FL 34972 | 2020-07-01 |
| 1265923379 | Terry Oneal Williams | Adult Companion | 1112 Nw Park Street, Okeechobee, FL 34972 | 2018-05-24 |
| 1720445414 | Anchor Dental Okeechobee, Pa | Dentist | 608 North Parrot Ave, Okeechobee, FL 34972 | 2016-01-26 |
| 1538436522 | Everglades Pediatric Dentistry, LLC | Dentist | 2029 Highway 441 North, Okeechobee, FL 34972 | 2011-11-19 |
| 1023301009 | Casandra Denise Wait | Developmental Therapist | 314 Nw 5th Street, Suite 314, Okeechobee, FL 34972 | 2011-05-24 |
| 1710205224 | Jeannie Moore Anderson | Mechanotherapist | 1865 Nw 5th St, Okeechobee, FL 34972 | 2010-05-07 |
| 1619128162 | Frances Elizabeth Fongkin | Nurse Practitioner | 208 Ne 19th Drive, Okeechobee, FL 34972 | 2008-10-02 |
| 1356528210 | Raulerson Gyn LLC | Obstetrics & Gynecology | 1713 Highway 441 North, Suite F, Okeechobee, FL 34972 | 2008-01-23 |
| 1952529745 | Michael A Garvin Dpm Pa | Podiatrist | 235 Ne 19th Drive, Okeechobee, FL 34972 | 2007-04-24 |
| 1730306473 | George Lee Roberson | Social Worker | 16800 N Hwy 441, Okeechobee, FL 34972 | 2007-04-20 |
| Find all providers in zip 34972 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215426309 | Heather Laura Burton | Counselor | 3595 Nw 15th Ave, Okeechobee, FL 34972-1631 | 2018-05-04 |
| 1184049421 | Breakthrough Recovery Services, Inc. | Counselor | 202 Nw 5th Ave, Okeechobee, FL 34972-4140 | 2014-02-24 |
| 1972935823 | Alice Kay Adams | Counselor | 20783 Nw 272nd St, Okeechobee, FL 34972-5925 | 2013-08-02 |
| 1124363775 | Sharnita White | Counselor | 1104 Sw 2nd Ave, Okeechobee, FL 34974-5220 | 2012-12-10 |
| 1952660938 | Janie Madonna Smith | Counselor | 301 Ne 4th Ave, Okeechobee, FL 34972-2982 | 2012-05-10 |
| 1790078871 | Ellisa Scott | Counselor | 203 Se 2nd Ave, Okeechobee, FL 34974-4305 | 2011-05-23 |
| 1942531900 | Hibiscus Children's Center | Counselor | 605 Sw Park St, Suite 207, Okeechobee, FL 34972-4173 | 2010-01-14 |
| 1114172210 | M Joan Robbins | Counselor | 500 Nw 353rd Blvd, Okeechobee, FL 34972-0173 | 2008-11-18 |
| 1326209503 | William Andrew Siegle | Counselor | 408 Nw 3rd St, Okeechobee, FL 34972-4129 | 2008-06-20 |
| 1801090725 | Kellie M Chapman | Counselor | 605 Sw Park St Ste 203, Okeechobee, FL 34972-4173 | 2007-06-13 |
| Find all providers in OKEECHOBEE | ||||
| City | OKEECHOBEE |
| Zip Code | 34972 |
Please comment or provide details below to improve the information on BRANDON ROSE.
| 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.