Brandy Ingram, PA-C, PA
Verification result: Current license matched
Arizona Physician Assistant License: Active
No role stated by the clinic
- License #3713
- Expires January 8, 2027
- NPI: 1730366386
- Primary taxonomy: Physician Assistant, Medical
- Verified September 27, 2026
View verification evidence
Clinic-reported
- Clinic-stated role
- No role stated on the pages reviewed
- Credential
- PA-C, PA
- Named as medical director
- Not stated
- Named as an injector
- Not stated on the pages reviewed
- Clinic source
- cleancolonic.com/practitioners
- Date checked
- September 30, 2026
Brandy Ingram PA-C
Federal provider record
- NPI
- 1730366386
- Primary taxonomy
- Physician Assistant, Medical
- Source
- NPPES NPI Registry
- Date checked
- September 20, 2026
State professional license
- Credential
- PA-C, PA
- State license
- Physician Assistant License, Arizona Regulatory Board of Physician Assistants
- License number
- 3713
- Status
- Active
- Expires
- 2027-01-08
- Checked
- September 27, 2026
Board action recorded: None found in the file we read.
Physician Assistant License license 3713; Brandy Elizabeth Ingram; status: Active; expires 2027-01-08; issued 2007-10-02; due to renew by 2026-10-10; practice Ingram Family Practie; office city Phoenix; education: Western University; board actions: none recorded
State data published September 1, 2026.
Verification finding
- Result
- Current license matched (Active)
Clean Colonic names Brandy Ingram, PA-C, PA, on its website. Verified Injector matched this clinician to license 3713 at the Arizona Regulatory Board of Physician Assistants, which that board recorded as Active when checked September 27, 2026.