Brandon Ingalls

Emergency Medicine Physician · Urbana, IL

Individual Active NPI

NPI number 1417348343

Practice location

611 W Park St
Urbana, IL 61801-2529
Phone
(217) 383-3313
Fax
(217) 383-4014

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NPI record

NPI
1417348343
Entity type
Individual (Type 1)
Enumeration date
February 13, 2015
Last updated
January 20, 2021
Certified
January 5, 2021
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Emergency Medicine Physician Primary 207P00000X 03613460 IL
Student in an Organized Health Care Education/Training Program 390200000X — —

Mailing address

611 W Park St
Fapc
Urbana, IL 61801

About Brandon Ingalls

Brandon Ingalls is a healthcare provider registered in the NPI registry with the primary taxonomy Emergency Medicine Physician (code 207P00000X). The practice location is 611 W Park St, Urbana, IL 61801-2529. The NPI number 1417348343 was assigned on February 13, 2015 and the record was last updated on January 20, 2021.

Brandon Ingalls lists a license in the registry: #03613460 (IL) for Emergency Medicine Physician. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Brandon Ingalls?

The NPI number is 1417348343.

What is the phone number of Brandon Ingalls?

The phone number listed for the practice location is (217) 383-3313.

Where is Brandon Ingalls located?

611 W Park St, Urbana, IL 61801-2529.

What is the taxonomy code for Brandon Ingalls?

The primary taxonomy code is 207P00000X – Emergency Medicine Physician; 1 more listed above.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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