MS. MARY GRACE BRANDON NP NPI 1164632287

NPI Information

  • NPI: 1164632287
  • Provider Name: MS. MARY GRACE BRANDON, NP
  • Classification: Nurse Practitioner - 363LA2100X
  • Specialization: Acute Care
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 9090 WILSHIRE BLVD
    200
    BEVERLY HILLS, CA
    ZIP 90211
  • Phone: (310) 888-8680

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NPI Details

MS. Mary Grace Brandon, NP is an acute care nurse practitioner in Beverly Hills, CA with 24 years of experience. MS. Mary Grace Brandon, NP NPI is 1164632287. 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:

9090 WILSHIRE BLVD
200
BEVERLY HILLS, CA
ZIP 90211-848
Phone: (310) 888-8680
Fax: (310) 388-1381

The NPI 1164632287 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 following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)

The enumeration date for this NPI number is 5/24/2007 and was last updated on 7/18/2022.

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
1363L00000XNurse Practitioner534909CALIFORNIANo
2363LA2100XNurse PractitionerAcute CareNP13711CALIFORNIAYes

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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