BRYAN MATTHEW BRANDON NPI 1548670482

NPI Information

  • NPI: 1548670482
  • Provider Name: BRYAN MATTHEW BRANDON
  • Classification: Otolaryngology - 207YS0123X
  • Specialization: Facial Plastic Surgery
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 665 CAMINO DE LOS MARES # 100
    SAN CLEMENTE, CA
    ZIP 92673
  • Phone: (949) 276-4141

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NPI Details

Bryan Matthew Brandon is a facial plastic surgery otolaryngology in San Clemente, CA. The provider is an otolaryngologist who specializes in facial plastic surgery. Bryan Matthew Brandon NPI is 1548670482. 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:

665 CAMINO DE LOS MARES # 100
SAN CLEMENTE, CA
ZIP 92673-859
Phone: (949) 276-4141

The NPI 1548670482 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 enumeration date for this NPI number is 4/30/2014 and was last updated on 7/1/2021.

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
1207YS0123XOtolaryngologyFacial Plastic Surgery167465CALIFORNIAYes
2390200000XStudent in an Organized Health Care Education/Training Program201583NORTH CAROLINANo

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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