BRANDON HERTZOG NPI 1073047080

NPI Information

NPI: 1073047080
Provider Name: BRANDON HERTZOG
Classification: Counselor - 101YM0800X
Entity Type: Individual

Specialization: Mental Health

Address:
7011 DECLAN VLY
SAN ANTONIO, TX
ZIP 78242
Phone: (210) 526-1887
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Brandon Hertzog is a mental health counselor in San Antonio, TX. Brandon Hertzog NPI is 1073047080. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

7011 DECLAN VLY
SAN ANTONIO, TX
ZIP 78242-020
Phone: (210) 526-1887

The enumeration date for this NPI number is 4/17/2017 and was last updated on 8/18/2022.

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	390200000X	Student in an Organized Health Care Education/Training Program				No
2	101YM0800X	Counselor	Mental Health	81784	TEXAS	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: 4/28/2024

NPI Synchronization or Removal

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