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

Mr. Brandon M Willis, MD

Individual provider Specialist · NPI 1336489632

Mr. Brandon M Willis, MD is a Specialist in Fort Pierce, Florida. Licensed in California. Registered with an NPI since 2013.

Licensed in
CA
In the registry since
2013
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1700 S 23rd St
Fort Pierce, FL 34950-4803
Phone: (772) 468-4554
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X
Specialist Taxonomy 174400000X · Licence 10037 (CA)

Record details

NPI number1336489632
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedFebruary 22, 2013
Last updated in NPPESMarch 21, 2025
Certification dateMarch 21, 2025

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