BRENDON PAUL APRN PMHNP-BC NPI 1922437896

NPI Information

  • NPI: 1922437896
  • Provider Name: BRENDON PAUL, APRN, PMHNP-BC
  • Classification: Nurse Practitioner - 363LP0808X
  • Specialization: Psychiatric/Mental Health
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 1479 BROCKETT RD STE 101
    TUCKER, GA
    ZIP 30084
  • Phone: (404) 625-5427

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NPI Details

Brendon Paul, APRN, PMHNP-BC is a psychiatric/mental health nurse practitioner in Tucker, GA with 3 years of experience. Brendon Paul, APRN, PMHNP-BC NPI is 1922437896. 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:

1479 BROCKETT RD STE 101
TUCKER, GA
ZIP 30084-326
Phone: (404) 625-5427
Fax: (404) 508-8944

The NPI 1922437896 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 11/1/2013 and was last updated on 10/31/2023.

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
1363LP0808XNurse PractitionerPsychiatric/Mental HealthRN225557GEORGIAYes

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

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