# DR. JORDAN EVAN BRENNON POWELL

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1033572821
- **Gender:** Man
- **Credential:** MD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208100000X | Physical Medicine & Rehabilitation Physician | 30164 | NE | — |
| 2081P2900X | Pain Medicine (Physical Medicine & Rehabilitation) Physician | V2223 | TX | Yes |
| 390200000X | Student in an Organized Health Care Education/Training Program | — | NULL | — |

## Other

- **Enumeration date:** 03/30/2016
- **Last updated:** 08/15/2025