Provider Demographics
NPI:1417325309
Name:ENGLISH, BRANDEE MARIE (PA-C)
Entity Type:Individual
Prefix:MRS
First Name:BRANDEE
Middle Name:MARIE
Last Name:ENGLISH
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:BRANDEE
Other - Middle Name:MARIE
Other - Last Name:WERTH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PA-C
Mailing Address - Street 1:PO BOX 948
Mailing Address - Street 2:
Mailing Address - City:SYRACUSE
Mailing Address - State:KS
Mailing Address - Zip Code:67878-0948
Mailing Address - Country:US
Mailing Address - Phone:620-384-7461
Mailing Address - Fax:620-384-5500
Practice Address - Street 1:700 N HUSER ST
Practice Address - Street 2:
Practice Address - City:SYRACUSE
Practice Address - State:KS
Practice Address - Zip Code:67878-7700
Practice Address - Country:US
Practice Address - Phone:620-385-7461
Practice Address - Fax:316-775-3685
Is Sole Proprietor?:No
Enumeration Date:2015-09-09
Last Update Date:2021-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS15-01856363AM0700X
KST-04365363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS200632830AMedicaid
KS102644Medicare UPIN
KS200632830AMedicaid