Provider Demographics
NPI:1215779517
Name:WILKINS, BRANDON JAMAR
Entity type:Individual
Prefix:MR
First Name:BRANDON
Middle Name:JAMAR
Last Name:WILKINS
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3477 BINBROOK RD N
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43227-3513
Mailing Address - Country:US
Mailing Address - Phone:614-352-5324
Mailing Address - Fax:
Practice Address - Street 1:3477 BINBROOK RD N
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43227-3513
Practice Address - Country:US
Practice Address - Phone:614-352-5324
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-06-10
Last Update Date:2024-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide