Provider Demographics
NPI:1215827118
Name:NOEL, BRANDON
Entity type:Individual
Prefix:
First Name:BRANDON
Middle Name:
Last Name:NOEL
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 1:1709 TERRACE CT
Mailing Address - Street 2:
Mailing Address - City:MINOT
Mailing Address - State:ND
Mailing Address - Zip Code:58703-1138
Mailing Address - Country:US
Mailing Address - Phone:832-219-4908
Mailing Address - Fax:
Practice Address - Street 1:1709 TERRACE CT
Practice Address - Street 2:
Practice Address - City:MINOT
Practice Address - State:ND
Practice Address - Zip Code:58703-1138
Practice Address - Country:US
Practice Address - Phone:832-219-4908
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-07-03
Last Update Date:2025-07-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care