DR. WILLIAM L BRANNON (NPI# 1053372805) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053372805 |
| Entity Type | Individual |
| Full Name | DR. WILLIAM L BRANNON |
| Credential | MD |
| Practice Address |
15 Medical Park Rd Suite 104b Columbia SC 29203-8003 |
| Mailing Address |
15 Medical Park Rd Suite 103 Columbia SC 29203-8003 |
| Practice Telephone | 8034344300 |
| Practice Fax Number | 8032554277 |
| Mailing Telephone | 8032553417 |
| Mailing Fax Number | 8032553451 |
| Enumeration Date | 2006-03-31 |
| Last Update Date | 2008-06-23 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
4539 | SC | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | 045392 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780612408 | William Anthony David Brannon | Anesthesiology | 1035 Red Bud Rd Ne, Calhoun, GA 30701-6008 | 2006-06-29 |
| Street Address |
15 MEDICAL PARK RD SUITE 104B |
| City | COLUMBIA |
| State | SC |
| Zip Code | 29203-8003 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821065921 | Lisa Henderson Bryant | Psychiatry & Neurology | 15 Medical Park Rd, Suite 300, Columbia, SC 29203-8003 | 2006-03-07 |
| 1104322429 | Rachel Metcalfe | Psychiatry & Neurology | 15 Medical Park Rd, Suite 141, Columbia, SC 29201 | 2018-04-04 |
| 1639105232 | Shilpa Srinivasan | Psychiatry & Neurology | 15 Medical Park Rd, Suite 141, Columbia, SC 29203-8003 | 2006-06-24 |
| 1558324798 | Yolanda Vanessa Edwards | Psychologist | 15 Medical Park Rd, Suite 103, Columbia, SC 29203-8003 | 2006-04-10 |
| 1316900855 | Amanda W Slater | Nurse Practitioner | 15 Medical Park Rd, Suite 300, Columbia, SC 29203-8003 | 2006-04-07 |
| 1003878547 | Richard Lesesne Frierson | Psychiatry & Neurology | 15 Medical Park Rd, Suite 301, Columbia, SC 29203-8003 | 2006-04-03 |
| 1902867526 | Leslie Kaye Burke | Psychologist | 15 Medical Park Rd, Suite 103, Columbia, SC 29203-8003 | 2006-03-31 |
| 1083675615 | Nioaka Nicole Campbell | Psychiatry & Neurology | 15 Medical Park Rd, Suite 103, Columbia, SC 29203-8003 | 2006-03-31 |
| 1093776569 | Clyde H Flanagan Jr. | Psychiatry & Neurology | 15 Medical Park Rd, Suite 103, Columbia, SC 29203-8003 | 2006-03-31 |
| 1306807573 | Allison Foster Defelice | Psychologist | 15 Medical Park Rd, Suite 103, Columbia, SC 29203-8003 | 2006-03-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609475284 | Matthew Leon Brigmon | Surgery | 2 Richland Medical Park, Suite 300, Columbia, SC 29203 | 2020-10-23 |
| 1730706839 | John James Gannon | Family Medicine | Prisma Health Medical Group Family Medicine, 3209 Colonial Drive, Columbia, SC 29203 | 2020-07-06 |
| 1790302362 | Klariz Teves Tucker | Internal Medicine | Internal Medcine Center, 1801 Sunset Drive, Columbia, SC 29203 | 2020-06-30 |
| 1811514482 | Esther Ruth Swan | Psychiatry & Neurology | Prisma Health General Psychiatry Center, 15 Medical Park, Ste 141, Columbia, SC 29203 | 2020-06-30 |
| 1447877014 | Jordan Kaitlyn Merrels | Psychiatry & Neurology | Prisma Health Medical Group General Psychiatry, 15 Medical Park, Ste 141, Columbia, SC 29203 | 2020-06-30 |
| 1306463187 | Jessica Leigh Watson | Psychiatry & Neurology | Prisma Health General Psychiatry, 15 Medical Park, Ste 141, Columbia, SC 29203 | 2020-06-29 |
| 1053938852 | Garrison Glenn Rice | Family Medicine | Prisma Health Medical Group Family Medical Center, 3209 Colonial Drive, Columbia, SC 29203 | 2020-06-29 |
| 1053938977 | Rachel Ellen Harper | Obstetrics & Gynecology | The Womens Center, 1801 Sunset Drive, Columbia, SC 29203 | 2020-06-26 |
| 1609493592 | Elizabeth Marie Kern | Orthopaedic Surgery | Prisma Health Medical Group Orthopedic Center, 2 Medical Park, Ste 105, Columbia, SC 29203 | 2020-06-26 |
| 1891312799 | Kathryn Victoria Steverson | Psychiatry & Neurology | Prisma Health Medical Group Psychiatry Center, 15 Medical Park, Ste 141, Columbia, SC 29203 | 2020-06-26 |
| Find all providers in zip 29203 | ||||
| Taxonomy Code | 2084N0400X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Neurology |
| A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891312799 | Kathryn Victoria Steverson | Psychiatry & Neurology | Prisma Health Medical Group Psychiatry Center, 15 Medical Park, Ste 141, Columbia, SC 29203 | 2020-06-26 |
| 1336764240 | Jal Ankeeth Ved | Psychiatry & Neurology | Prisma Health Medical Group Neurology, 8 Medical Park, Ste 420, Columbia, SC 29203 | 2020-06-16 |
| 1356962799 | Mindsmattersmd LLC | Psychiatry & Neurology | 3305 Clark Ln, Pmb 130, Columbia, MO 65202-2404 | 2020-04-27 |
| 1851955413 | David Alan Lockwood Jr. | Psychiatry & Neurology | Neurology Patient Care, 8 Medical Park, Ste 420, Columbia, SC 29203 | 2019-04-29 |
| 1831610989 | Christopher Bruck Zust | Psychiatry & Neurology | 8 Medical Park Ste 420, Neurology Clinic, Columbia, SC 29203 | 2017-06-29 |
| 1629598990 | Nicole Alyssa Hogan | Psychiatry & Neurology | Neurology Department, 8 Medical Park, Ste 420, Columbia, SC 29203 | 2017-06-27 |
| 1083065148 | Waleed Raheem Abood Abood | Psychiatry & Neurology | 1 Hospital Drive, Ste 507, Columbia, MO 65202 | 2016-06-29 |
| 1780061234 | Alex Mirzoev | Psychiatry & Neurology | 1333 Taylor St Ste 1c, Columbia, SC 29201-2944 | 2015-05-05 |
| 1770997108 | Nimit Nakul Patel | Psychiatry & Neurology | 8 Medical Park, Ste 420, Neurology Dept, Columbia, SC 29203 | 2014-06-13 |
| 1497195390 | Ravish Ashokkumar Kothari | Psychiatry & Neurology | 8 Med Park Ste 420, Neurology, Columbia, SC 29203 | 2013-06-25 |
| Find all providers in COLUMBIA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.