MEDICARE: JASON EDWARD BRANDON MS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor	12787	OK
2	171M00000X	Case Manager/Care Coordinator

General Provider Information

NPI Number	:	1376020677
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JASON EDWARD BRANDON MS

Provider Business Mailing Address
First Line	:	24 N EIGHT TRIBES TRL
Second Line	:
City	:	MIAMI
State	:	OK
Zip	:	74354-1011
Country	:	US
Telephone Number	:	918-387-8720
Fax Number	:

Provider Business Practice Location Address
First Line	:	24 N EIGHT TRIBES TRL
Second Line	:
City	:	MIAMI
State	:	OK
Zip	:	74354-1011
Country	:	US
Telephone Number	:	918-325-3129
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/19/2018
Last Update Date	:	06/05/2025

Similar Medicare Providers

1588558423 — ACCESS MEDICAL GROUP OF MIAMI MEDICARE, LLC
Practice Location Address:

701 NW 27TH AVE
MIAMI, FL
33125-3012

Practice Phone: 786-744-1900
Practice Fax: 305-760-4141

1821636358 — MODOC NATION BEHAVIORAL HEALTH
Practice Location Address:

24 N EIGHT TRIBES TRL
MIAMI, OK
74354-1011

Practice Phone: 918-387-8720
Practice Fax: 918-956-2970

1689030827 — VALEREE GREGOIRE BCBA
Practice Location Address:

22 N EIGHT TRIBES TRL
MIAMI, OK
74354-1011

Practice Phone: 918-542-1190
Practice Fax:

1154116432 — KATELYN ALICIA SMART LMSW
Practice Location Address:

24 N EIGHT TRIBES TRL
MIAMI, OK
74354-1011

Practice Phone: 918-800-2965
Practice Fax:

1003704735 — KAIYA TODD
Practice Location Address:

24 N EIGHT TRIBES TRL
MIAMI, OK
74354-1011

Practice Phone: 918-387-8720
Practice Fax:

1215814132 — KALLIE JOHNSON
Practice Location Address:

22 N EIGHT TRIBES TRL
MIAMI, OK
74354-1011

Practice Phone: 918-944-0805
Practice Fax:

Directions to “ JASON EDWARD BRANDON MS” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.