BRANDON DABU – Psychiatric/Mental Health Nurse Practitioner, NPI 1457641979

BRANDON DABU is a healthcare provider. based in Las vegas, Nevada. specializing in NURSE PRACTITIONER. They hold a License No. 35648 (CA). The NPI Number for BRANDON DABU is 1457641979

Main info

Male
3 Years Of Experience
Accepts Medicare Assignment
Name
BRANDON DABU
NPI
1457641979
Phone
(702) 664-9614
Address
5524 S FORT APACHE RD
Enumeration Date
18 April 2011
Last Update Date
7 June 2024

Doctor Profile

Medical School Name
UNIVERSITY OF SOUTH ALABAMA COLLEGE OF MEDICINE
Secondary Phone
-
Graduation Year
2023 (3 years ago)
PAC ID
4688109663
Group Practice PAC ID
9436695640
Professional Enrollment ID
I20241127002651
Address ID
NV891203218LA3663XRDXX401
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience68
Completeness75
Years active:15State licenses:2Digital endpointsOther names

2,949 NURSE PRACTITIONER in NV

Provider Addresses for BRANDON DABU

  • 5524 S FORT APACHE RD

    LAS VEGAS, NV 891487668

    Phone: (702) 664-9614

    Type: Mailing

  • 5524 S. FORT APACHE RD.

    LAS VEGAS, NV 891487668

    Phone: (702) 664-9614

    Type: Location

  • 4760 SEPULVEDA BLVD

    CULVER CITY, CA 902304820

    Phone:

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 4 Open Payments records for all available years, with a total value of $68.

Total Amount is formed as General ($68) + Research ($0) + Ownership ($0) = $68.

Last reported payment date: 2024-12-06 • Largest payer in this snapshot: Antares Pharma, Inc. ($31).

Total Amount

$68

General + Research + Ownership

Payments

4

Total payment records

General Amount

$68

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-06

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2024-11-27

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20241127002651INurse PractitionerNVTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 89148)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 9436695640View full group profile
NameSpecialtyState
Nurse PractitionerNV
Nurse PractitionerPA
Clinical Social WorkerNV

Reviews

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Frequently asked questions

What number should I use to identify BRANDON DABU for billing?
Administrative and clinical systems typically use NPI 1457641979 for BRANDON DABU.
Is BRANDON DABU's NPI status active today?
Active status means BRANDON DABU's NPI record is not deactivated in the public file.
What services align with BRANDON DABU's listing?
BRANDON DABU's public classification highlights Psychiatric/Mental Health Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Can patients visit BRANDON DABU in Las Vegas, Nevada?
For routing, start with Las Vegas, Nevada for BRANDON DABU, then verify phone and hours locally.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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