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NPI Code Detail

MEDICARE: BRANDON T NAVE D.O.

MEDICARE: BRANDON T NAVE D.O.
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
1207L00000XAnesthesiology Physician0102208475VA

General Provider Information

NPI Number : 1376162529
Entity Type Code : Individual
Provider Name (Legal Business Name) : BRANDON T NAVE D.O.
Provider Business Mailing Address
First Line : 213 S JEFFERSON ST STE 1006
Second Line :
City : ROANOKE
State : VA
Zip : 24011-1713
Country : US
Telephone Number : 540-224-5516
Fax Number :
Provider Business Practice Location Address
First Line : 1906 BELLEVIEW AVE SE
Second Line :
City : ROANOKE
State : VA
Zip : 24014-1838
Country : US
Telephone Number : 540-853-0222
Fax Number : 540-981-7855
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/08/2020
Last Update Date : 06/04/2026

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