Individual
BRETT JOSEPH BRANDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHYSICIAN ASSISTANT
Contact information
Practice address
2020 59TH ST W, BRADENTON, FL 34209-4604
(941) 792-6611
Mailing address
2020 29TH AVE W, BRADENTON, FL 34205-5251
(941) 792-6611
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
50.00896RX
OH
363AM0700X
Medical Physician Assistant
—
—
363AS0400X
Surgical Physician Assistant
50.00896RX
OH
Other
Enumeration date
03/11/2021
Last updated
03/31/2025
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