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

Brett Joseph Brandon, PHYSICIANASSISTANT

Individual provider Medical Physician Assistant · NPI 1629653639

Brett Joseph Brandon, PHYSICIANASSISTANT is a Physician Assistant in Bradenton, Florida. Qualified in 2021, 5 years ago. Practices with Intensive Care Consortium Inc, a 483-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Ohio.

Years since qualifying
5
Licensed in
OH
In the registry since
2021
Specialties on file
3
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Practice location Address checks out

2020 59th St W
Bradenton, FL 34209-4604
Phone: (941) 792-6611
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 3533 Southern Blvd Ste 2100, Kettering, OH 45429-1267 — (937) 395-8556

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 50.00896RX (OH)
Medical Physician Assistant Taxonomy 363AM0700X
Surgical Physician Assistant Taxonomy 363AS0400X · Licence 50.00896RX (OH)

Record details

NPI number1629653639
Entity typeIndividual (Type 1)
GenderMale
Credentials PHYSICIANASSISTANT
Sole proprietorNo
NPI enumeratedMarch 11, 2021
Last updated in NPPESMarch 31, 2025
Certification dateMarch 31, 2025

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Intensive Care Consortium Inc — 483 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations5 on file with Medicare

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