Provider Demographics
NPI:1578448445
Name:BRAND, MICHAEL (NBC-HWC)
Entity type:Individual
Prefix:
First Name:MICHAEL
Middle Name:
Last Name:BRAND
Suffix:
Gender:M
Credentials:NBC-HWC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4540 E 109TH AVE
Mailing Address - Street 2:
Mailing Address - City:THORNTON
Mailing Address - State:CO
Mailing Address - Zip Code:80233-5404
Mailing Address - Country:US
Mailing Address - Phone:912-602-9665
Mailing Address - Fax:
Practice Address - Street 1:10693 MELODY DR
Practice Address - Street 2:
Practice Address - City:NORTHGLENN
Practice Address - State:CO
Practice Address - Zip Code:80234-4113
Practice Address - Country:US
Practice Address - Phone:912-602-9665
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-08-08
Last Update Date:2025-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
A-3815719171400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171400000XOther Service ProvidersHealth & Wellness Coach