Individual
BRANDON A MACY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM
Taxonomy
Speciality
Code
Description
License number
State
213EP1101X
Primary Podiatric Medicine Podiatrist
Primary
25MD00126200
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3057101
—
NJ
Enumeration date
06/17/2005
Last updated
09/20/2011
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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