Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Brandy E. Ingram, PA-C

Individual provider Medical Physician Assistant · NPI 1730366386

Brandy E. Ingram, PA-C is a Physician Assistant in Tempe, Arizona. Qualified in 2007, 19 years ago. Accepts Medicare assignment. Licensed in Arizona.

Years since qualifying
19
Licensed in
AZ
In the registry since
2008
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

5030 S Mill Ave Ste D12 D12
Tempe, AZ 85282-6849
Phone: (480) 894-2823
Fax: (480) 756-6663
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence 3713 (AZ)

Record details

NPI number1730366386
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJanuary 25, 2008
Last updated in NPPESMarch 7, 2023
Mailing address5030 S Mill Ave Ste D12, Tempe, AZ 85282-6849

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2007 (19 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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