BRANDON D. PERRY DO – NPI #1053150615
Student in an Organized Health Care Education/Training Program

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

BRANDON PERRY is a health care student located in KINGMAN, AZ. NPPES has assigned the NPI number 1053150615 to BRANDON PERRY on May 23, 2024. It is a Type-1 NPI, indicating this NPI number is associated with an individual. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 390200000X from the Health Care Provider Taxonomy code set, which is classified as Student in an Organized Health Care Education/Training Program.

The NPI profile was last updated on Aug 17, 2025. See the complete NPI profile for BRANDON PERRY below.

NPI Profile for
BRANDON D. PERRY

NPI Number
1053150615
Enumeration Date

(about 2 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
BRANDON D. PERRY
Credentials
DO
Primary location
3269 STOCKTON HILL RD
KINGMAN, AZ 86409
Phone: (928) 757-2101 Fax:
Mailing address
Same as primary location
Sole Proprietor
No
Updated
Certification Date
Aug 01, 2025

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
390200000X
- Student in an Organized Health Care Education/Training Program (Primary)
AZ R4228
207P00000X
- Emergency Medicine
AZ R4228

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.