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NPI Code Detail

MEDICARE: BRANDON KNIGHT DO

MEDICARE: BRANDON KNIGHT DO
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
1390200000XStudent in an Organized Health Care Education/Training ProgramMI
2207Y00000XOtolaryngology Physician2025-01226NC

General Provider Information

NPI Number : 1306461264
Entity Type Code : Individual
Provider Name (Legal Business Name) : BRANDON KNIGHT DO
Provider Business Mailing Address
First Line : 50 N PERRY ST
Second Line :
City : PONTIAC
State : MI
Zip : 48342-2217
Country : US
Telephone Number : 248-338-5392
Fax Number :
Provider Business Practice Location Address
First Line : 3824 N ELM ST STE 201
Second Line :
City : GREENSBORO
State : NC
Zip : 27455-2733
Country : US
Telephone Number : 336-542-2017
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/16/2020
Last Update Date : 06/19/2025

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