MS. BROOKE LOGAN BRANTLEY FNP-C NPI 1093215451

NPI Information

  • NPI: 1093215451
  • Provider Name: MS. BROOKE LOGAN BRANTLEY, FNP-C
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 458 HEMLOCK ST # 200
    MACON, GA
    ZIP 31201
  • Phone: (478) 741-5946

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NPI Details

MS. Brooke Logan Brantley, FNP-C is a family nurse practitioner in Macon, GA. MS. Brooke Logan Brantley, FNP-C NPI is 1093215451. 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:

458 HEMLOCK ST # 200
MACON, GA
ZIP 31201-200
Phone: (478) 741-5946

The NPI 1093215451 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Power Mobility Devices.

The enumeration date for this NPI number is 2/12/2018 and was last updated on 2/12/2018.

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
1363LF0000XNurse PractitionerFamilyRN230828GEORGIAYes

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: 11/21/2025

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