Brandi L Desper, NP is a
Nurse Practitioner physician based in Evansville, Indiana. Brandi L Desper is licensed to practice in Indiana (license number 71001387A) and her current practice location is 3701 Pebble Place Dr, Evansville, Indiana. She can be reached at her office (for appointments etc.) via phone at
(812) 454-0508.
NPI number for Brandi L Desper is 1417905241 and her current mailing address is 4150 Clement St, San Francisco, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1417905241.
Physician's Profile
Full Name | Brandi L Desper |
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Gender | Female |
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Speciality | Nurse Practitioner |
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Location | 3701 Pebble Place Dr, Evansville, Indiana |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1417905241
- Provider Enumeration Date: 05/04/2006
- Last Update Date: 03/06/2024
Medical Identifiers
Medical identifiers for Brandi L Desper such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1417905241 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207Q00000X | Family Medicine | 71001387A (Indiana) | Secondary |
363L00000X | Nurse Practitioner | 71001387A (Indiana) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Brandi L Desper is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Brandi L Desper, NP 4150 Clement St, San Francisco, CA 94121-1563 Ph: (415) 221-4810 | Brandi L Desper, NP 3701 Pebble Place Dr, Evansville, IN 47711-7725 Ph: (812) 454-0508 |
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