Susan A Brannon in Montgomery - Multi-specialty
Susan A Brannon - NPI 1063548642
Susan A Brannon is a Multi-specialty in Montgomery, Alabama. Susan A Brannon practices all healthcare services and medical treatments related to Multi-specialty. The NPI Number for Susan A Brannon is 1063548642. The last update date is 2014-09-25.
Susan A Brannon's current location address is 8160 Seaton Pl, Montgomery, Alabama. You can contact this provider via phone number 3342721799 and fax number 3342724876. The mailing address for Susan A Brannon is 8160 Seaton Pl, Montgomery, Alabama. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Susan A Brannon |
|---|---|
| Address | 8160 Seaton Pl, Montgomery, Alabama |
| Phone Number | 3342721799 |
| Fax Number | 3342724876 |
| Sole Proprietor | Y |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1063548642 |
|---|---|
| Provider Enumeration Date | 2007-02-26 |
| Last Updated Date | 2014-09-25 |
Provider Mailing Address Detail
| Address | 8160 Seaton Pl |
|---|---|
| City | Montgomery |
| State | Alabama (AL) |
| Post Code | 361167204 |
| Phone Number | 3342721799 |
| Fax Number | 3342724876 |
Provider's Primary Taxonomy Detail
| Speciality | Multi-specialty |
|---|---|
| Taxonomy | 261Qm1300X |
| Licence No | 14224 |
|
Definition: Provides integrated outpatient care across medical and surgical specialties with referrals under one roof. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 631214880 | AL | TAX ID | |
| 88077 | AL | -- | |
| 51088077 | AL | BCBS PROVIDER ID |
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What is the unique 10-digit identification code assigned to Susan A Brannon by the Centers for Medicare & Medicaid Services?
The Susan A Brannon has been issued the NPI (National Provider Identifier) 1063548642, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Susan A Brannon's physical address?
The Susan A Brannon is physically located at 8160 Seaton Pl, in the city of Montgomery, AL, with the postal code 361167204.
What is Susan A Brannon's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Susan A Brannon is Multi-specialty, and the taxonomy classification code that categorizes this area of expertise is 261Qm1300X.
On what date did the Centers for Medicare & Medicaid Services issue the 1063548642 to Susan A Brannon?
The Susan A Brannon received its 1063548642 assignment from the Centers for Medicare & Medicaid Services on 2007-02-26.
When was the information related to Susan A Brannon most recently updated or refreshed?
The details pertaining to the Susan A Brannon, including its address, specialty, and other relevant information, were last updated or refreshed on 2014-09-25.
NPI Number: 1457354839
Address: P.o. Box 1252, Spartanburg, SC