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

Brandon Waller

Individual provider Case Manager/Care Coordinator · NPI 1417661075

Brandon Waller is a Case Manager/Care Coordinator in Chesapeake, Ohio. Practices as a sole proprietor. Registered with an NPI since 2023.

In the registry since
2023

Practice location Address checks out

11470 County Road 1
Chesapeake, OH 45619-7010
Phone: (740) 451-0074
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Case Manager/Care Coordinator (primary) Taxonomy 171M00000X

Record details

NPI number1417661075
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedJanuary 9, 2023
Last updated in NPPESJanuary 9, 2023
Certification dateJanuary 9, 2023
Mailing address11470 County Road 1, Chesapeake, OH 45619-7010

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