BRANDON LEE TINGLEY PA-C NPI 1851647713

NPI Information

Brandon Lee Tingley, PA-C is a surgical physician assistant in Raleigh, NC with 12 years of experience. Brandon Lee Tingley, PA-C NPI is 1851647713. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: DUKE UNIVERSITY SCHOOL OF MEDICINE
Graduation Year:2012

The provider's business location address is:

3009 NEW BERN AVE
RALEIGH, NC
ZIP 27610-214
Phone: (919) 232-5020

The NPI 1851647713 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 7/30/2012 and was last updated on 7/30/2012.

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:

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