Individual provider · Type 1 NPI

Roenell Thomas Heerbrandt, DO

Student in an Organized Health Care Education/Training Program · Medford, NY

NPI number 1134074867 Active

Practice location

46 Meyer Ln
Medford, NY 11763-4117

Call (631) 487-0427 Map

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

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.

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About NPI 1134074867

Roenell Thomas Heerbrandt, DO's National Provider Identifier is 1134074867, issued on Feb 27, 2026. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Medford, NY. The record was last updated on Feb 27, 2026.