GAYLE E BRANNON PA-C NPI 1225056302

NPI Information

NPI: 1225056302
Provider Name: GAYLE E BRANNON, PA-C
Classification: Physician Assistant - 363AM0700X
Entity Type: Individual

Specialization: Medical

PECOS Registration: Yes

Address:
MADIGAN ARMY MEDICAL CTR
FT LEWIS
TACOMA, WA
ZIP 98431
Phone: (253) 968-2620
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Gayle E Brannon, PA-C is a medical physician assistant in Tacoma, WA. Gayle E Brannon, PA-C NPI is 1225056302. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

MADIGAN ARMY MEDICAL CTR
FT LEWIS
TACOMA, WA
ZIP 98431-001
Phone: (253) 968-2620

The NPI 1225056302 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 7/17/2006 and was last updated on 10/6/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363A00000X	Physician Assistant		PA10004131	WASHINGTON	No
2	363AM0700X	Physician Assistant	Medical	PA10004131	WASHINGTON	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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