MEDICARE: BRANDON ORR

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	172V00000X	Community Health Worker		AL

General Provider Information

NPI Number	:	1225971013
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BRANDON ORR

Provider Business Mailing Address
First Line	:	606 PENNYLANE ST SE
Second Line	:
City	:	HARTSELLE
State	:	AL
Zip	:	35640-3336
Country	:	US
Telephone Number	:	256-227-2882
Fax Number	:

Provider Business Practice Location Address
First Line	:	211 LAFAYETTE ST NW
Second Line	:
City	:	DECATUR
State	:	AL
Zip	:	35601-1417
Country	:	US
Telephone Number	:	256-227-2882
Fax Number	:

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

Provider Enumeration Date	:	04/14/2026
Last Update Date	:	04/14/2026

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Directions to “ BRANDON ORR ” Practice Location

Language	Start Address	Practice Location

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