MEDICARE: BRANDON MICHAEL ROBERTS M.ED., NCC, LPC

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	101YP2500X	Professional Counselor	77674	TX

General Provider Information

NPI Number	:	1003386988
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BRANDON MICHAEL ROBERTS M.ED., NCC, LPC

Provider Business Mailing Address
First Line	:	1219 DALLAS ST
Second Line	:
City	:	PORT NECHES
State	:	TX
Zip	:	77651-2908
Country	:	US
Telephone Number	:	409-234-5777
Fax Number	:	877-250-4835

Provider Business Practice Location Address
First Line	:	1219 DALLAS ST
Second Line	:
City	:	PORT NECHES
State	:	TX
Zip	:	77651-2908
Country	:	US
Telephone Number	:	409-234-5777
Fax Number	:	877-250-4835

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

Provider Enumeration Date	:	12/04/2018
Last Update Date	:	02/24/2022

Similar Medicare Providers

1003588856 — STEADFAST HEALTH & WELLNESS PLLC
Practice Location Address:

1219 DALLAS ST
PORT NECHES, TX
77651-2908

Practice Phone: 409-234-5777
Practice Fax: 877-250-4835

1194486258 — TAMARA S. LONG LCSW
Practice Location Address:

1219 DALLAS ST
PORT NECHES, TX
77651-2908

Practice Phone: 409-234-5777
Practice Fax:

1457086001 — AMANDA CHISM LPC
Practice Location Address:

1219 DALLAS ST
PORT NECHES, TX
77651-2908

Practice Phone: 409-234-5776
Practice Fax:

1245421783 — BROWNSVILLE COMMUNITY HEALTH CENTER CORP
Practice Location Address:

142 CHAMPION AVE
PORT ISABEL, TX
78578-2908

Practice Phone: 956-943-1300
Practice Fax:

1033124086 — WALGREEN CO
Practice Location Address:

2126 NALL ST
PORT NECHES, TX
77651-3716

Practice Phone: 409-727-1426
Practice Fax: 409-727-0776

1942156849 — KIESCHNICK CHIROPRACTIC PLLC
Practice Location Address:

1002 MAGNOLIA AVE STE B
PORT NECHES, TX
77651-4135

Practice Phone: 409-282-0486
Practice Fax:

Directions to “ BRANDON MICHAEL ROBERTS M.ED., NCC, LPC” 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.