Brandon Ray Fowler, LPN is a
Licensed Practical Nurse based in Highland, Utah. Brandon Ray Fowler is licensed to practice in Utah (license number 6581184-3101) and his current practice location is
9675 N 5750 W, Highland, Utah. He can be reached at his office (for appointments etc.) via phone at
(801) 369-0003.
NPI number for Brandon Ray Fowler is 1588097521 and his current mailing address is 9675 N 5750 W, Highland, Utah. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1588097521.
Provider's Profile
Full Name | Brandon Ray Fowler |
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Gender | Male |
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Speciality | Licensed Practical Nurse |
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Location | 9675 N 5750 W, Highland, Utah |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1588097521
- Provider Enumeration Date: 08/13/2013
- Last Update Date: 08/13/2013
Medical Identifiers
Medical identifiers for Brandon Ray Fowler such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1588097521 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
164W00000X | Licensed Practical Nurse | 6581184-3101 (Utah) | 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. Brandon Ray Fowler 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 |
Brandon Ray Fowler, LPN 9675 N 5750 W, Highland, UT 84003-9150 Ph: (801) 369-0003 | Brandon Ray Fowler, LPN 9675 N 5750 W, Highland, UT 84003-9150 Ph: (801) 369-0003 |
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