BRANDON LEE COBURN (NPI# 1932706744) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932706744 |
| Entity Type | Individual |
| Full Name | BRANDON LEE COBURN |
| Credential | PA-C |
| Practice Address |
107 Staunton Dr Weston WV 26452-5604 |
| Practice Telephone | 3042692022 |
| Practice Fax Number | 3042692037 |
| Mailing Telephone | 3042692022 |
| Mailing Fax Number | 3042692037 |
| Enumeration Date | 2020-10-05 |
| Last Update Date | 2020-10-05 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | WV | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083857270 | Brandon Michael Coburn | Nurse Practitioner | 210 Center Rd Apt 7, Buffalo, NY 14224-1971 | 2009-04-17 |
| Street Address |
107 STAUNTON DR |
| City | WESTON |
| State | WV |
| Zip Code | 26452-5604 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184022428 | Community Care of West Virginia, Inc. | Pharmacy | 107 Staunton Dr, Weston, WV 26452 | 2014-12-19 |
| 1922634567 | Ashley Renee Hart | Nurse Practitioner | 107 Staunton Dr, Weston, WV 26452-5604 | 2020-03-16 |
| 1619464369 | Community Care of West Virginia, Inc. | Clinic/Center | 107 Staunton Dr, Weston, WV 26452-5604 | 2018-04-18 |
| 1841706884 | Sarah Bell | Nurse Practitioner | 107 Staunton Dr, Weston, WV 26452-5604 | 2017-12-27 |
| 1629581590 | Heather Ann Whetzel | Physician Assistant | 107 Staunton Dr, Weston, WV 26452-5604 | 2017-11-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316547136 | Sara Knotts | Technician | 102 Upper St, Weston, WV 26452 | 2020-10-30 |
| 1003414301 | Sarah Bowman | Technician | 55 4b Mobile Estates, Weston, WV 26452 | 2020-10-09 |
| 1962019752 | Victoria Louise Riggs | Pharmacist | 250 Court Street, Weston, WV 26452 | 2020-09-26 |
| 1710472188 | Brandi Nicole Miller | Occupational Therapist | 150 John St Ste C, Weston, WV 26452 | 2018-06-27 |
| 1073944658 | Community Care of West Virginia, Inc. | Clinic/Center | 149 Staunton Drive, Weston, WV 26452 | 2013-12-06 |
| 1033452552 | Julie Ann Haddix | Nurse Practitioner | 29 Hospital Plz Ste E, Weston, WV 26452 | 2013-04-03 |
| 1972605608 | Phillip Mansfield Spaur | Chiropractor | 346 East 3rd Street, Weston, WV 26452 | 2006-09-02 |
| 1003918202 | Bio-medical Applications of West Virginia, Inc. | Clinic/Center | Market Place Plaza, Suite1c, Weston, WV 26452 | 2006-09-01 |
| 1093825432 | Khalid Mahmoud | Internal Medicine | 66 Hospital Plaza Suite 104, Weston, WV 26452 | 2006-08-30 |
| 1841309523 | Mountaineer Healthcare for Women Pllc | Obstetrics & Gynecology | 66 Hospital Plaza Suite 103, Weston, WV 26452 | 2006-08-29 |
| Find all providers in zip 26452 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932713047 | Pedro G Bolanos Sr. | Physician Assistant | 460 Alexandra Cir, Weston, FL 33326-3308 | 2020-09-04 |
| 1437775111 | Kelsey Nicole Kunes | Physician Assistant | 15 Bakers Hill Rd, Weston, MA 02493-1708 | 2020-06-18 |
| 1831615178 | Laura Villafane | Physician Assistant | 2625 Executive Park Dr Ste 7, Weston, FL 33331-3634 | 2017-08-18 |
| 1831636349 | Eva Frances Santos | Physician Assistant | 1321 St Tropez Cir, Apt 1003, Weston, FL 33326-3014 | 2017-01-22 |
| 1790236560 | Maria Jimena Ortiz | Physician Assistant | 1319 Camellia Cir, Weston, FL 33326-3615 | 2016-10-17 |
| 1619427903 | Nicole Triana | Physician Assistant | 2500 Weston Rd Ste 103, Weston, FL 33331-3616 | 2016-10-11 |
| 1902292022 | Alexandra Elios | Physician Assistant | 2625 Executive Drive, Suite 7, Weston, FL 33331-3634 | 2015-04-15 |
| 1184022345 | Noya Kantor | Physician Assistant | 2625 Executive Park Drive, Suite 7, Weston, FL 33331-3634 | 2014-12-19 |
| 1467562843 | Deborah Mendoza | Physician Assistant | 2300 N Commerce Pkwy Ste 303, Weston, FL 33326-3256 | 2006-08-30 |
| 1326054289 | Melinda Joyce Orrahood | Physician Assistant | 936 Sharpe Hospital Road, William R Sharpe Jr Hospital, Weston, WV 26452 | 2006-07-31 |
| Find all providers in WESTON | ||||
Please comment or provide details below to improve the information on BRANDON LEE COBURN.
| 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.