Active NPIIndividual provider

Brandon T Halstead, PTA

Community Health Worker in Newport, Vermont

NPI Number1194192245
Practice location
35 Bel Aire Dr, Newport, VT 05855-4953
Fax
—
Last updated
August 25, 2015

Brandon Thomas Halstead is a Community Health Worker based in Newport, VT. Brandon Thomas Halstead practices in Newport, VT and has the professional credentials of PTA. The NPI Number for Brandon Thomas Halstead is 1194192245 and holds a License No. TEI004216 (PA). The current practice location address for Brandon Thomas Halstead is 35 Bel Aire Dr, Newport, VT 05855-4953 and can be reached out via phone at 802-334-2878.

Provider Profile Details

NPI Number
1194192245
Provider Name
Brandon Thomas Halstead
Credential
PTA
Provider Entity Type
Individual
Gender
Male
Address
35 Bel Aire Dr, Newport, VT 05855-4953
Phone Number
802-334-2878
Primary Taxonomy
Community Health Worker · 172V00000X
Sole Proprietor
No
Provider Enumeration Date
August 25, 2015
Last Update Date
August 25, 2015
NPI Status
Active

Provider Business Practice Location Address Details

Address
35 Bel Aire Dr
Newport, VT 05855-4953
State
Vermont
Zip
05855-4953
Phone Number
802-334-2878
Newport, VT 05855Get directions →

Provider Business Mailing Address Details

Address
5930 Cornerstone CT W Ste 300
San Diego, CA 92121-3772
City
San Diego
State
CA
Zip
92121-3772
Phone Number
866-687-7390

License Information

License Number (1)
TEI004216
License State (1)
PA
Taxonomy (1)
Community Health Worker · 172V00000X · Primary
License Number (2)
PTA.0013570
License State (2)
CO
Taxonomy (2)
Community Health Worker · 172V00000X
License Number (3)
9406205-2404
License State (3)
UT
Taxonomy (3)
Community Health Worker · 172V00000X
License Number (4)
09204
License State (4)
OR
Taxonomy (4)
Community Health Worker · 172V00000X

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Brandon T Halstead, PTA?

The NPI number of Brandon T Halstead, PTA is 1194192245. It was assigned on August 25, 2015 and is currently active in the NPPES registry.

What is the specialty of Brandon T Halstead, PTA?

Brandon T Halstead, PTA is registered under the primary taxonomy Community Health Worker (code 172V00000X), licensed in PA under license number TEI004216.

Where does Brandon T Halstead, PTA practice?

The practice location is 35 Bel Aire Dr, Newport, VT 05855-4953. The office can be reached at 802-334-2878 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1194192245 directly on the NPPES registry website.

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