NPI Code Detail JSON Logo

1780128207 NPI number — BRANDI NICOLE BURNS PA-C

NPI Number: 1780128207
Health Care Provider/Practitioner: BRANDI NICOLE BURNS PA-C

Information about “1780128207” NPI (BRANDI NICOLE BURNS PA-C) exists in 1780128207 in HTML format HTML  |  1780128207 in plain Text format TXT  |  1780128207 in PDF (Portable Document Format) PDF  |  1780128207 in an XML format XML  formats.

NPI Number : 1780128207 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1780128207",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "BURNS",
    "FirstName": "BRANDI",
    "MiddleName": "NICOLE",
    "NamePrefix": "MRS.",
    "NameSuffix": null,
    "Credential": "PA-C",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "LOGA",
    "OtherFirstName": "BRANDI",
    "OtherMiddleName": "NICOLE",
    "OtherNamePrefix": "MS.",
    "OtherNameSuffix": null,
    "OtherCredential": "PA-C",
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "1517 POND ROAD",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "ALLENTOWN",
    "MailingAddressStateName": "PA",
    "MailingAddressPostalCode": "18104",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "610-395-4444",
    "MailingAddressFaxNumber": "610-366-7886",
    "FirstLinePracticeLocationAddress": "1517 POND ROAD",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "ALLENTOWN",
    "PracticeLocationAddressStateName": "PA",
    "PracticeLocationAddressPostalCode": "18104",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "610-395-4444",
    "PracticeLocationAddressFaxNumber": "610-366-7886",
    "EnumerationDate": "12/19/2016",
    "LastUpdateDate": "02/06/2018",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "F",
    "Gender": "Female",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "363AM0700X",
          "TaxonomyName": "Medical Physician Assistant",
          "LicenseNumber": "MA058804",
          "LicenseNumberStateCode": "PA",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "208000000X",
          "TaxonomyName": "Pediatrics Physician",
          "LicenseNumber": "MA058804",
          "LicenseNumberStateCode": "PA",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

Copyright © 2007-2026 Data Labs Health. All rights reserved.