Derrick Shawn Bramble

Peer Specialist · Xenia, OH

Individual Active NPI

NPI number 1417841404

Practice location

2960 W Enon Rd
Xenia, OH 45385-8548
Phone
(937) 272-4925

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NPI record

NPI
1417841404
Entity type
Individual (Type 1)
Enumeration date
June 5, 2025
Last updated
June 5, 2025
Certified
June 5, 2025
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Peer Specialist Primary 175T00000X APS.005064 OH

About Derrick Bramble

Derrick Shawn Bramble is a healthcare provider registered in the NPI registry with the primary taxonomy Peer Specialist (code 175T00000X). The practice location is 2960 W Enon Rd, Xenia, OH 45385-8548. The NPI number 1417841404 was assigned on June 5, 2025 and the record was last updated on June 5, 2025.

Derrick Bramble lists a license in the registry: #APS.005064 (OH) for Peer Specialist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Derrick Shawn Bramble?

The NPI number is 1417841404.

What is the phone number of Derrick Bramble?

The phone number listed for the practice location is (937) 272-4925.

Where is Derrick Bramble located?

2960 W Enon Rd, Xenia, OH 45385-8548.

What is the taxonomy code for Derrick Bramble?

The primary taxonomy code is 175T00000X – Peer Specialist.

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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