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

Brandon Gaviola

Individual provider Family Nurse Practitioner · NPI 1396610937

Brandon Gaviola is a Nurse Practitioner in Camden, New Jersey. Qualified in 2024, 2 years ago. Practices with Chc Pain Management Center, PA, a 12-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in New Jersey.

Years since qualifying
2
Licensed in
NJ
In the registry since
2025
Specialties on file
2
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Practice location Address checks out

3 Cooper Plz Rm 314
Camden, NJ 08103-1438
Phone: (856) 963-6770
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1 Cooper Plz, Camden, NJ 08103-1461 — (856) 342-2425

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 26NJ15352600 (NJ)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 26NJ15352600 (NJ)

Record details

NPI number1396610937
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedOctober 6, 2025
Last updated in NPPESNovember 24, 2025
Certification dateNovember 24, 2025
Mailing address1 Federal St Ste 200, Camden, NJ 08103-1088

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Chc Pain Management Center, Pa — 12 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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