Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Brandon Douglas Prentice

Individual provider Surgery Physician · NPI 1427805928

Brandon Douglas Prentice is a Surgery Physician in Roanoke, Virginia. Practices as a sole proprietor. Licensed in Michigan.

Licensed in
MI
In the registry since
2024
Specialties on file
2

Practice location Address checks out

1906 Belleview Ave SE
Roanoke, VA 24014-1838
Phone: (540) 981-7000
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X
Surgery Physician Taxonomy 208600000X · Licence 4351052691 (MI)

Record details

NPI number1427805928
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedMay 2, 2024
Last updated in NPPESApril 23, 2025
Certification dateApril 23, 2025
Mailing address3601 W 13 Mile Rd, Royal Oak, MI 48073-6712

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