Isd Brandon LLC
Isd Brandon LLC is a healthcare organization registered as End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Brandon, MS, holding Type 2 (organization) NPI 1790723831 since 2006. The authorized official on file is Samuel Wey, Vp Licensure & Certification.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1790723831 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Isd Brandon LLC |
| Other name | <Unavail> |
| Practice address | 101 CHRISTIAN DR, Brandon, MS, 39042 |
| Phone | 6018249764 |
| Fax | 6018249761 |
| Enumeration date | 2006-06-02 |
| Last updated in NPPES | 2025-12-01 |
Authorized official
| Name | Samuel Wey |
|---|---|
| Title | Vp Licensure & Certification |
| Phone | 6153416641 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 261QE0700X | End-Stage Renal Disease (ESRD) Treatment Clinic/Center | Primary | — | — |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00220416 | Medicaid | MS | — |
Copy-ready billing details
Provider: Isd Brandon LLC NPI: 1790723831 Taxonomy: 261QE0700X (End-Stage Renal Disease (ESRD) Treatment Clinic/Center) Address: 101 CHRISTIAN DR, Brandon, MS, 39042
Verify this record
Cross-check NPI 1790723831 against the authoritative CMS record: view Isd Brandon LLC on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
Who is the authorized official for Isd Brandon LLC?
What is the NPI number for Isd Brandon LLC?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2025-12-01.