BRANDON LEE HARRIS NPI 1164078267

NPI Information

  • NPI: 1164078267
  • Provider Name: BRANDON LEE HARRIS
  • Classification: Specialist - 174400000X
  • Entity Type: Individual
  • Address: 1666 SW BAYSHORE BLVD
    PORT ST LUCIE, FL
    ZIP 34984
  • Phone: (772) 446-9740

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NPI Details

Brandon Lee Harris is a specialist in Port St Lucie, FL. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. Brandon Lee Harris NPI is 1164078267. 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:

1666 SW BAYSHORE BLVD
PORT ST LUCIE, FL
ZIP 34984-568
Phone: (772) 446-9740

The enumeration date for this NPI number is 8/14/2019 and was last updated on 8/14/2019.

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
1174400000XSpecialistYes

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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