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

Brandon Emry

Individual provider Registered Nurse · NPI 1164938007

Brandon Emry is a Nurse Practitioner in Fort Wayne, Indiana. Qualified in 2017, 9 years ago. Practices with Ear Nose and Throat Associates PC, a 36-clinician group and accepts Medicare assignment. Licensed in Indiana.

Years since qualifying
9
Licensed in
IN
In the registry since
2017
Specialties on file
2
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Practice location Address checks out

11104 Parkview Circle Dr Ste 110
Fort Wayne, IN 46845-1673
Phone: (260) 425-6780
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 71007787A (IN)
Registered Nurse Taxonomy 163W00000X · Licence 28217961A (IN)

Record details

NPI number1164938007
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedDecember 14, 2017
Last updated in NPPESFebruary 14, 2018
Mailing address3702 New Vision Dr Bldg B, Fort Wayne, IN 46845-1703

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Ear Nose And Throat Associates Pc — 36 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Fort Wayne