Provider Demographics
NPI:1376179572
Name:BREHON, BRANDI ROBIN
Entity Type:Individual
Prefix:
First Name:BRANDI
Middle Name:ROBIN
Last Name:BREHON
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:BREHON & ASSOCIATES
Other - Middle Name:
Other - Last Name:LLC
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:947 RYE DR
Mailing Address - Street 2:
Mailing Address - City:LA PLATA
Mailing Address - State:MD
Mailing Address - Zip Code:20646-3295
Mailing Address - Country:US
Mailing Address - Phone:757-642-1841
Mailing Address - Fax:
Practice Address - Street 1:5913 OLD COLLEGE DR
Practice Address - Street 2:
Practice Address - City:SUFFOLK
Practice Address - State:VA
Practice Address - Zip Code:23435-2051
Practice Address - Country:US
Practice Address - Phone:757-642-1841
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-03-19
Last Update Date:2020-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator
No172V00000XOther Service ProvidersCommunity Health Worker
No174H00000XOther Service ProvidersHealth Educator
No374U00000XNursing Service Related ProvidersHome Health Aide