MEDICARE: BRANDON STOVER

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	227900000X	Registered Respiratory Therapist

General Provider Information

NPI Number	:	1154280238
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BRANDON STOVER

Provider Business Mailing Address
First Line	:	7629 AQUAMARINE DR
Second Line	:
City	:	CORPUS CHRISTI
State	:	TX
Zip	:	78414-5636
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1959 NE PACIFIC ST MAIN HOSPITAL
Second Line	:
City	:	SEATTLE
State	:	WA
Zip	:	98195-0001
Country	:	US
Telephone Number	:	206-598-3300
Fax Number	:

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

Provider Enumeration Date	:	01/15/2026
Last Update Date	:	01/15/2026

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Directions to “ BRANDON STOVER ” Practice Location

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