MEDICARE: MR. BRANDON NICHOLAS HEIMBERG AEMT

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	146L00000X	Paramedic	2011026018	UT

General Provider Information

NPI Number	:	1821638255
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. BRANDON NICHOLAS HEIMBERG AEMT

Provider Business Mailing Address
First Line	:	2500 S LAKE PARK BLVD
Second Line	:
City	:	WEST VALLEY
State	:	UT
Zip	:	84120-8218
Country	:	US
Telephone Number	:	801-902-4238
Fax Number	:

Provider Business Practice Location Address
First Line	:	2500 S LAKE PARK BLVD
Second Line	:
City	:	WEST VALLEY CITY
State	:	UT
Zip	:	84120-8218
Country	:	US
Telephone Number	:	801-902-4238
Fax Number	:

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

Provider Enumeration Date	:	01/14/2020
Last Update Date	:	01/14/2020

Similar Medicare Providers

1497832083 — DR. LYSA CHARLES MD
Practice Location Address:

2101 E JEFFERSON ST PPQA MEDICARE COMPLIANCE UNT 6 WEST , KAISER PERMANENTE MID ATLANTIC PERMANENTE MEDICAL GROUP
ROCKVILLE, MD
20852-4908

Practice Phone: 301-816-6660
Practice Fax: 301-816-6308

1215091525 — MR. MATTHEW MEMMOTT NEDDO PA-C, MPAS
Practice Location Address:

2500 S LAKE PARK BLVD
WEST VALLEY CITY, UT
84120-8218

Practice Phone: 801-902-4238
Practice Fax: 801-266-6916

1225073588 — VALLEY ASSOCIATED UROLOGY MEDICARE GROUP INC
Practice Location Address:

200 COTTAGE AVE , STE 101
MANTECA, CA
95336-4935

Practice Phone: 209-239-2197
Practice Fax: 209-239-7672

1871894964 — CREATING FOUNDATIONS, LLC
Practice Location Address:

8218 PENCE RD
PLEASANT VALLEY, MO
64068-9586

Practice Phone: 816-699-2526
Practice Fax:

1609144476 — AMBER TEEL OLSON LPC
Practice Location Address:

8218 NE PENCE RD
PLEASANT VALLEY, MO
64068

Practice Phone: 816-699-2526
Practice Fax:

1093086142 — ANDREA RUSE PLPC
Practice Location Address:

8218 PENCE RD
PLEASANT VALLEY, MO
64068-9586

Practice Phone: 816-898-4800
Practice Fax:

Directions to “ MR. BRANDON NICHOLAS HEIMBERG AEMT” 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.