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

Brandon Gin

Individual provider Family Nurse Practitioner · NPI 1063287639

Brandon Gin is a Nurse Practitioner in Phoenix, Arizona. Qualified in 2023, 3 years ago. Practices with Leading Healthcare PLLC, a 46-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Arizona.

Years since qualifying
3
Licensed in
AZ
In the registry since
2023
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Practice location Address checks out

1880 E Van Buren St
Phoenix, AZ 85006-3742
Phone: (602) 253-4570
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 14660 W Parkwood Dr Ste 20085374, Surprise, AZ 85374-4590 — (623) 546-5030

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 300810 (AZ)

Record details

NPI number1063287639
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedNovember 23, 2023
Last updated in NPPESMarch 18, 2024
Certification dateDecember 28, 2023

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Leading Healthcare Pllc — 46 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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