Healthcare Provider Details

I. General information

NPI: 1568829604
Provider Name (Legal Business Name): BRANDON NOYES DO
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/20/2016
Last Update Date: 07/01/2026
Certification Date: 07/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

III MEF FORCE SURGEONS OFFICE
FPO AP
96382-5605
US

IV. Provider business mailing address

III MEF FORCE SURGEONS OFFICE UNIT 35605
FPO AP
96382-5605
US

V. Phone/Fax

Practice location:
  • Phone: 843-646-7918
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License Number20A25567
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License Number0102204959
License Number StateVA
# 3
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License NumberDO-0134
License Number StateGU

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: