JOHN BRANDON DURHAM NP NPI 1457854796

NPI Information

  • NPI: 1457854796
  • Provider Name: JOHN BRANDON DURHAM, NP
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • Address: 4200 REGENT ST STE 200
    COLUMBUS, OH
    ZIP 43219
  • Phone: (877) 870-1775

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NPI Details

John Brandon Durham, NP is a family nurse practitioner in Columbus, OH. John Brandon Durham, NP NPI is 1457854796. 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:

4200 REGENT ST STE 200
COLUMBUS, OH
ZIP 43219-229
Phone: (877) 870-1775
Fax: (614) 968-8840

The enumeration date for this NPI number is 3/13/2018 and was last updated on 4/10/2024.

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
1163W00000XRegistered Nurse212526SOUTH CAROLINANo
2363LF0000XNurse PractitionerFamily21769SOUTH CAROLINAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1NP5083MEDICAIDSOUTH CAROLINA
2SCC5297628OTHERSOUTH CAROLINAMEDICARE PIN

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: 3/30/2025

NPI Synchronization or Removal

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