MEDICARE: BRANDON JOSHUA TORRES MD

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	390200000X	Student in an Organized Health Care Education/Training Program
2	207Q00000X	Family Medicine Physician	V9159	TX

General Provider Information

NPI Number	:	1982346490
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BRANDON JOSHUA TORRES MD

Provider Business Mailing Address
First Line	:	1280 8TH AVE STE 300
Second Line	:
City	:	FORT WORTH
State	:	TX
Zip	:	76104-4131
Country	:	US
Telephone Number	:	817-912-9270
Fax Number	:	817-912-9280

Provider Business Practice Location Address
First Line	:	1280 8TH AVE STE 300
Second Line	:
City	:	FORT WORTH
State	:	TX
Zip	:	76104-4131
Country	:	US
Telephone Number	:	817-912-9270
Fax Number	:	817-912-9280

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

Provider Enumeration Date	:	04/13/2022
Last Update Date	:	12/11/2025

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