Healthcare Provider Details

I. General information

NPI: 1609719855
Provider Name (Legal Business Name): AUSTIN BRANDT DNP, CRNA
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/13/2026
Last Update Date: 06/07/2026
Certification Date: 06/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

420 N CENTER ST
HICKORY NC
28601-5033
US

IV. Provider business mailing address

10 3RD AVE NE STE 200
HICKORY NC
28601-5044
US

V. Phone/Fax

Practice location:
  • Phone: 828-327-8105
  • Fax:
Mailing address:
  • Phone: 828-327-8105
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License Number8319
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: