Individual
BRANDON CAPALBO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1819 CAREW ST, FORT WAYNE, IN 46805-4705
(260) 702-8060
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
10004009A
IN
363A00000X
Physician Assistant
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300077637
—
IN
Enumeration date
10/28/2020
Last updated
11/18/2025
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