# DR. BRANDON M WACHAL

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

## Provider details

- **NPI number:** 1710366018
- **Gender:** Man
- **Credential:** M.D.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Y00000X | Otolaryngology Physician | 7401 | NE | — |
| 207Y00000X | Otolaryngology Physician | D0091646 | MD | — |
| 207YS0123X | Facial Plastic Surgery Physician | D0091646 | MD | Yes |
| 207YX0007X | Plastic Surgery within the Head & Neck (Otolaryngology) Physician | D0091646 | MD | — |

## Other

- **Enumeration date:** 05/20/2015
- **Last updated:** 06/01/2026

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 219423600 | — | MD |
| 01 | — | 4695852 | AETNA | MD |
| 01 | — | 7401 | TEP NUMBER | NE |
| 01 | — | D0091646 | MARYLAND LICENSE | MD |
| 01 | — | FN66-0003 | CAREFIRST BCBS | MD |