Provider Demographics
NPI:1588458996
Name:MARKS, BRANDON (NRP)
Entity type:Individual
Prefix:
First Name:BRANDON
Middle Name:
Last Name:MARKS
Suffix:
Gender:
Credentials:NRP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1335 SIGUR AVE
Mailing Address - Street 2:
Mailing Address - City:METAIRIE
Mailing Address - State:LA
Mailing Address - Zip Code:70005-1219
Mailing Address - Country:US
Mailing Address - Phone:504-451-7988
Mailing Address - Fax:
Practice Address - Street 1:3120 LIME ST
Practice Address - Street 2:
Practice Address - City:METAIRIE
Practice Address - State:LA
Practice Address - Zip Code:70006-5310
Practice Address - Country:US
Practice Address - Phone:504-424-4444
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-04-09
Last Update Date:2025-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA4710-4076-4745146L00000X
4710-4076-4745146L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes146L00000XEmergency Medical Service ProvidersEmergency Medical Technician, Paramedic