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

Brandon Ingalls

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1417348343

Brandon Ingalls is a Student in an Organized Health Care Education/Training Program in Urbana, Illinois. Licensed in Illinois. Registered with an NPI since 2015.

Licensed in
IL
In the registry since
2015
Specialties on file
2

Practice location Address checks out

611 W Park St
Urbana, IL 61801-2529
Phone: (217) 383-3313
Fax: (217) 383-4014
Show map & directions

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

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence 03613460 (IL)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1417348343
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedFebruary 13, 2015
Last updated in NPPESJanuary 20, 2021
Certification dateJanuary 5, 2021
Mailing address611 W Park St, Fapc, Urbana, IL 61801

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