BRANDON H. ANDERSON (NPI# 1063491637) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063491637 |
| Entity Type | Individual |
| Full Name | BRANDON H. ANDERSON |
| Credential | M.D. |
| Practice Address |
163 S Tallahassee St Hazlehurst GA 31539-6465 |
| Mailing Address |
Po Box 277329 Atlanta GA 30384-7329 |
| Practice Telephone | 9123757781 |
| Practice Fax Number | 9123754055 |
| Mailing Telephone | 8003778721 |
| Mailing Fax Number | 3045232241 |
| Enumeration Date | 2006-01-12 |
| Last Update Date | 2008-04-16 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207P00000X | Emergency Medicine | ME82728 | FL | Allopathic & Osteopathic Physicians |
| Y | 207P00000X | Emergency Medicine | 048138 | GA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 00856391K | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477938694 | Brandon Anderson | Counselor | 726 Elm Ave Unit 302, Long Beach, CA 90813-4468 | 2015-07-29 |
| 1619276433 | Brandon Anderson | Behavioral Analyst | 5429 Whisper Bluff St, North Las Vegas, NV 89031-0746 | 2011-03-18 |
| 1326282898 | Brandon John Anderson | Student in an Organized Health Care Education/Training Program | 420 Delaware St. Se Mmc 391, Pediatric Education Eg, Minneapolis, MN 55455 | 2009-04-28 |
| 1619180130 | Brandon Regan Anderson | Pharmacist | 105 Old York Rd, New Cumberland, PA 17070-2485 | 2007-05-08 |
| 1225536592 | Brandon Mark Anderson | Registered Nurse | 5219 Saint John Dr, Orr, MN 55771-8232 | 2018-01-31 |
| 1285154096 | Brandon Anderson | Counselor | 10710 Mukilteo Speedway, Mukilteo, WA 98275-5021 | 2017-06-22 |
| 1093261943 | Brandon Anderson | Pharmacist | 24760 Hospital Drive, Red Lake, MN 56671 | 2016-08-31 |
| 1043607369 | Brandon Anderson | Nurse Practitioner | 8050 Township Line Rd, Indianapolis, IN 46260-2478 | 2015-04-24 |
| 1881080471 | Brandon Anderson | Internal Medicine | 701 Grove Rd Fl 5, Greenville, SC 29605-4210 | 2015-04-09 |
| 1558762385 | Brandon Jae Anderson | Pharmacist | 2011 E Fry Blvd, Sierra Vista, AZ 85635-2753 | 2014-09-11 |
| Street Address |
163 S TALLAHASSEE ST |
| City | HAZLEHURST |
| State | GA |
| Zip Code | 31539-6465 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912902263 | Hospital Authority of Jeff Davis County Georgia | General Acute Care Hospital | 163 S Tallahassee St, Hazlehurst, GA 31539-1690 | 2005-06-14 |
| 1023593498 | Hospital Authority of Jeff Davis County Georgia | Clinic/Center | 163 S Tallahassee St, Hazlehurst, GA 31539-6465 | 2018-10-01 |
| 1780105296 | Hyperbaric & Woundcare Inc | Preventive Medicine | 163 S Tallahassee St, Hazlehurst, GA 31539-6465 | 2017-07-06 |
| 1043761331 | Dana Marie Morgan | Nurse Practitioner | 163 S Tallahassee St, Hazlehurst, GA 31539-6465 | 2016-10-20 |
| 1518321678 | Anand Dave | Internal Medicine | 163 S Tallahassee St, Hazlehurst, GA 31539-6465 | 2016-04-05 |
| 1134509680 | General Anesthesia Services, LLC | Nurse Anesthetist, Certified Registered | 163 S Tallahassee St, Hazlehurst, GA 31539-6465 | 2015-05-30 |
| 1205229994 | Hospital Authority of Jeff Davis County Georgia | Medicare Defined Swing Bed Unit | 163 S Tallahassee St, Hazlehurst, GA 31539-6465 | 2015-03-05 |
| 1538384953 | Roger John Venable | Emergency Medicine | 163 S Tallahassee St, Hazlehurst, GA 31539-6465 | 2007-04-13 |
| 1740209154 | John J Rogers | Emergency Medicine | 163 S Tallahassee St, Hazlehurst, GA 31539-6465 | 2006-07-18 |
| 1528047016 | Vijay K. Mahathre | Emergency Medicine | 163 S Tallahassee St, Hazlehurst, GA 31539-6465 | 2006-01-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023536646 | Eric Wayne Carelock | Registered Nurse | 209 S Tallahassee St P O Box 770, Hazlehurst, GA 31539 | 2017-09-04 |
| 1720322464 | Tattnall Hospital Company, LLC | Orthopaedic Surgery | 38 S. Tallahassee Street, Suite B, Hazlehurst, GA 31539 | 2012-11-19 |
| 1003112376 | Rogers W Wood Jr. | Pharmacist | 54 E Jarman St, Hazlehurst, GA 31539 | 2011-02-04 |
| 1235361015 | Kirk Alessandro Munsayac | Family Medicine | 22 Cross Street, Hazlehurst, GA 31539 | 2009-08-13 |
| 1629135355 | Janie W Baxter | Chiropractor | 171 Burketts Ferry Road, Hazlehurst, GA 31539 | 2007-01-02 |
| 1003304981 | Jennifer Lynn Lowe | Nurse Practitioner | 9 Hester St, Hazlehurst, GA 31539 | 2018-04-26 |
| 1760708580 | Jason Laney | Internal Medicine | 209 S Tallahassee St, Hazlehurst, GA 31539 | 2010-04-19 |
| 1770889040 | Chips Discount Drugs Inc | Durable Medical Equipment & Medical Supplies | 240 S. Tallahassee St., Hazlehurst, GA 31539-0571 | 2011-02-04 |
| 1568730760 | David L Turfler Md PC | Family Medicine | 209 S Tallahassee St, Hazlehurst, GA 31539-0770 | 2011-12-02 |
| 1073798401 | Southeast Georgia Homehealth Care Inc. | Home Health | 256 Satilla Church Rd, Hazlehurst, GA 31539-4442 | 2008-01-03 |
| Find all providers in zip 31539 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144261793 | Joseph White | Emergency Medicine | 233 Magnolia St, Hazlehurst, MS 39083-2228 | 2006-06-08 |
| 1336783000 | Prodox, LLC | Emergency Medicine | 27190 Highway 28, Hazlehurst, MS 39083-2224 | 2019-11-05 |
| 1336322775 | Keystone Medical Services of Mississippi, Pa | Emergency Medicine | 233 Magnolia St, Hazlehurst, MS 39083-2228 | 2007-12-07 |
| 1538384953 | Roger John Venable | Emergency Medicine | 163 S Tallahassee St, Hazlehurst, GA 31539-6465 | 2007-04-13 |
| 1174691059 | Keystone Medical Services of Ms, Inc | Emergency Medicine | 233 Magnolia St, Hazlehurst, MS 39083-2228 | 2006-12-01 |
| 1740209154 | John J Rogers | Emergency Medicine | 163 S Tallahassee St, Hazlehurst, GA 31539-6465 | 2006-07-18 |
| 1649216680 | Robert Walker | Emergency Medicine | 233 Magnolia St, Hazlehurst, MS 39083-2228 | 2006-06-20 |
| 1679514863 | Kenneth Whittington | Emergency Medicine | 233 Magnolia St, Hazlehurst, MS 39083-2228 | 2006-06-09 |
| 1568403780 | Gary Broadrick | Emergency Medicine | 233 Magnolia St, Hazlehurst, MS 39083-2228 | 2006-06-09 |
| 1528047016 | Vijay K. Mahathre | Emergency Medicine | 163 S Tallahassee St, Hazlehurst, GA 31539-6465 | 2006-01-12 |
| Find all providers in HAZLEHURST | ||||
| City | HAZLEHURST |
| Zip Code | 31539 |
Please comment or provide details below to improve the information on BRANDON H. ANDERSON.
| 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.