ROENELL THOMAS HEERBRANDT DO NPI 1134074867

NPI Information

  • NPI: 1134074867
  • Provider Name: ROENELL THOMAS HEERBRANDT, DO
  • Classification: Student in an Organized Health Care Education/Training Program - 390200000X
  • Entity Type: Individual
  • Address: 46 MEYER LN
    MEDFORD, NY
    ZIP 11763
  • Phone: (631) 487-0427

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NPI Details

Roenell Thomas Heerbrandt, DO is a student in an organized health care education training program in Medford, NY. The provider is an individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. Roenell Thomas Heerbrandt, DO NPI is 1134074867. 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:

46 MEYER LN
MEDFORD, NY
ZIP 11763-117
Phone: (631) 487-0427

The enumeration date for this NPI number is 2/27/2026 and was last updated on 2/27/2026.

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
1390200000XStudent in an Organized Health Care Education/Training ProgramNEW YORKYes

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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