Individual provider · Type 1 NPI

Brandon Douglas Prentice

Student in an Organized Health Care Education/Training Program · Roanoke, VA

NPI number 1427805928 Active

Practice location

1906 Belleview Ave SE
Roanoke, VA 24014-1838

Call (540) 981-7000 Map

Mailing address

3601 W 13 Mile Rd
Royal Oak, MI 48073-6712

Specialties and licenses

TaxonomyCodeLicense
Surgery Physician 208600000X4351052691 (MI)
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 1427805928

Brandon Douglas Prentice's National Provider Identifier is 1427805928, issued on May 2, 2024. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Roanoke, VA. The record was last updated on Apr 23, 2025.