Evan Brandenburg
NPI 1063202216 · Student in an Organized Health Care Education/Training Program · Dayton, OH
Enrolled with Medicare as Order and Referring Only - General Surgery · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Evan Brandenburg is a Student in an Organized Health Care Education/Training Program provider in Dayton, OH (NPI 1063202216).
Provider details
- NPI number
- 1063202216
- Entity type
- Individual
- Primary specialty
- Student in an Organized Health Care Education/Training ProgramStudent, Health Care
- Sex
- Male
- Sole proprietor
- No
- License
- 57.258989 (OH)
Specialties & taxonomies
- Student in an Organized Health Care Education/Training ProgramPrimary390200000XLicense 57.258989 (OH)
Student, Health Care
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2025-05-10
- Last updated
- 2025-05-14
- Certified
- 2025-05-14
Frequently asked questions
- What is Evan Brandenburg's NPI number?
- Evan Brandenburg's National Provider Identifier (NPI) is 1063202216, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Evan Brandenburg's specialty?
- Evan Brandenburg is listed in the NPPES registry with a primary specialty of Student in an Organized Health Care Education/Training Program (Student, Health Care).
- Where is Evan Brandenburg located?
- Evan Brandenburg's practice location on file with NPPES is 30 E Apple St Ste 6258, Dayton, OH 45409-2932.
- What is Evan Brandenburg's phone number?
- The practice phone number listed in the NPPES registry for Evan Brandenburg is (937) 208-8000.
- Does Evan Brandenburg accept Medicare?
- Evan Brandenburg is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Evan Brandenburg's NPI active?
- Yes — Evan Brandenburg's NPI (1063202216) is active in the NPPES registry as of the last update on 2025-05-14.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.