Provider Demographics
NPI:1023265881
Name:BEARCE, BRANDI MARIE (RPSGT)
Entity type:Individual
Prefix:
First Name:BRANDI
Middle Name:MARIE
Last Name:BEARCE
Suffix:
Gender:F
Credentials:RPSGT
Other - Prefix:
Other - First Name:BRANDI
Other - Middle Name:MARIE
Other - Last Name:BARKER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:204 SAVANNAH PL APT C
Mailing Address - Street 2:
Mailing Address - City:KING
Mailing Address - State:NC
Mailing Address - Zip Code:27021-8559
Mailing Address - Country:US
Mailing Address - Phone:336-985-6066
Mailing Address - Fax:
Practice Address - Street 1:1601 SW ARCHER RD
Practice Address - Street 2:
Practice Address - City:GAINESVILLE
Practice Address - State:FL
Practice Address - Zip Code:32608-1135
Practice Address - Country:US
Practice Address - Phone:352-376-1611
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-08-25
Last Update Date:2008-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC9322247200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes247200000XTechnologists, Technicians & Other Technical Service ProvidersTechnician, Other