BRANDON BLAKE TELLER FNP-C
NPI 1285477018
Nurse Practitioner - Family in Vicksburg, MS
NPI Status: Active since June 18, 2024
- Individual
- Male
- Nurse Practitioner
- Family
About BRANDON TELLER
This page provides the complete NPI Profile along with additional information for Brandon Teller, a provider established in Vicksburg, Mississippi with a medical specialization in Nurse Practitioner, focusing in family . The healthcare provider is registered in the NPI registry with number 1285477018 assigned on June 2024. The practitioner's primary taxonomy code is 363LF0000X with license number F07250420 (MS). The provider is registered as an individual and his NPI record was last updated July 2025. Brandon Teller operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization.
- NPI
- 1285477018
- Provider Name
- BRANDON BLAKE TELLER FNP-C
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 2100 US-61 N VICKSBURG, MS 39183
- Location Phone
- (601) 415-6161
- Mailing Address
- 2100 US-61N VICKSBURG, MS 39183
- Mailing Phone
- (601) 415-6161
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 06-18-2024
- Last Update Date
- 07-16-2025
- Code Navigator
A nurse practitioner (NP) like Brandon Teller is an experienced registered nurse with a master’s or doctoral degree and advanced clinical training. Nurse practitioners can work in many different specialties including primary care, pediatrics, cardiology, emergency, women’s health, oncology or geriatrics. Nurse practitioners provide services like physical exams, order laboratory tests, manage diseases, write prescriptions, etc.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Nurse Practitioner Family
- Taxonomy Code
- 363LF0000X
- Type
- Physician Assistants & Advanced Practice Nursing Providers
- License No.
- F07250420
- License State
- MS
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 163WC0200X | Nursing Service Providers | Registered Nurse | 918907 (MS) |
Group Taxonomy 193200000X MULTI-SPECIALTY GROUP
This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 2 | 8 | 5 | 4 | 7 | 7 | 0 | 1 | 8 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 2 | 16 | 5 | 8 | 7 | 14 | 0 | 2 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 2 + 1 + 6 + 5 + 8 + 7 + 1 + 4 + 0 + 2 + 24 = 62 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 62 = 8 | 8 | ||||||||
The NPI number 1285477018 is valid because the calculated check digit 8 using the Luhn validation algorithm matches the last digit of the original NPI number.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1285477018, enumerated in the NPI registry as an "individual" on June 18, 2024
The provider is located at 2100 Us-61 N Vicksburg, Ms 39183 and the phone number is (601) 415-6161
The provider's speciality is Nurse Practitioner with taxonomy code 363LF0000X with a focus in Family
This NPI record was last updated on June 18, 2024. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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