JOHN P. BRANNAN JR. (NPI# 1073563508) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073563508 |
| Entity Type | Individual |
| Full Name | JOHN P. BRANNAN JR. |
| Credential | MD |
| Practice Address |
2451 Fillingim St Mobile AL 36617-2238 |
| Mailing Address |
Po Box 40480 Mobile AL 36640-0480 |
| Practice Telephone | 2514717150 |
| Practice Fax Number | 2514717008 |
| Mailing Telephone | 2514705842 |
| Mailing Fax Number | 2514705809 |
| Enumeration Date | 2006-05-12 |
| Last Update Date | 2009-02-26 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
5625 | AL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AL | 009984045 | 05 | |
| LA | 1163112 | 05 | |
| FL | 372781500 | 05 | |
| AL | BCBS | 51526628 | 01 |
| AL | BCBS FILLINGIM | 51526672 | 01 |
| AL | 009984055 | 05 | |
| MS | 05400325 | 05 | |
| AL | UNITED HEALTHCARE | 16-01238 | 01 |
| AL | BCBS SRC | 51526744 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720522378 | John Brannan | Chiropractor | 3008 E Hebron Pkwy, Building 500, Carrollton, TX 75010-4469 | 2016-12-15 |
| 1790775641 | John James Brannan | Physical Medicine & Rehabilitation | 6480 Harrison Ave, Suite 100, Cincinnati, OH 45247-7961 | 2005-10-24 |
| Street Address |
2451 FILLINGIM ST |
| City | MOBILE |
| State | AL |
| Zip Code | 36617-2238 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225036312 | Roy E Gandy | Surgery | 2451 Fillingim St, Mastin 101, Mobile, AL 36617-2238 | 2005-07-12 |
| 1629635818 | Usa Health Anesthesia Billing Services, LLC | Nurse Anesthetist, Certified Registered | 2451 Fillingim St, Mobile, AL 36617-2238 | 2019-05-22 |
| 1629575865 | Onesmus Kiprotich Too | Nurse Anesthetist, Certified Registered | 2451 Fillingim St, Mobile, AL 36617-2238 | 2018-04-12 |
| 1851894943 | Christine Choquette | Nurse Practitioner | 2451 Fillingim St, Mobile, AL 36617-2238 | 2018-03-14 |
| 1942720834 | Erin B Cunningham | Nurse Practitioner | 2451 Fillingim St, Mobile, AL 36617-2238 | 2017-06-22 |
| 1720511017 | Richard Ross Rieske | Student in an Organized Health Care Education/Training Program | 2451 Fillingim St, Mstn 315, Mobile, AL 36617-2238 | 2017-04-04 |
| 1588196935 | Anam Iftikhar Chouhdry | Student in an Organized Health Care Education/Training Program | 2451 Fillingim St, Res Box 7th Floor, Mobile, AL 36617-2238 | 2017-04-03 |
| 1417489063 | Joseph Arnell Jones Iv | Student in an Organized Health Care Education/Training Program | 2451 Fillingim St, Res Box 7th Floor, Mobile, AL 36617-2238 | 2017-04-03 |
| 1912439670 | Ryan Mikel Burdette Kiser | Student in an Organized Health Care Education/Training Program | 2451 Fillingim St, 10-f, Mobile, AL 36617-2238 | 2017-03-31 |
| 1497287353 | Fares Hujier | Internal Medicine | 2451 Fillingim St, Resident Box 7th Floor, Mobile, AL 36617 | 2017-03-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871118760 | Travis Berry | Student in an Organized Health Care Education/Training Program | 2451 University Hospital Dr., Moorer Bldg. Room 120, Mobile, AL 36617 | 2020-06-16 |
| 1164064978 | Crystal Aerin Deweever | Counselor | 2400 Gordon Smith Dr., Mobile, AL 36617 | 2019-10-14 |
| 1871145938 | Sagar Kumar | Student in an Organized Health Care Education/Training Program | 2451 University Hospital Dr. Rm 714, Mobile, AL 36617 | 2019-07-09 |
| 1639630882 | Sarah Anderson | Student in an Organized Health Care Education/Training Program | 2451 University Hospital Drive, Moorer Bldg. Room 120, Mobile, AL 36617 | 2019-03-29 |
| 1215415120 | Fnu Sameeta | Student in an Organized Health Care Education/Training Program | 2451 Usa Med Center Drive, Moorer Building Room 120, Mobile, AL 36617 | 2018-08-02 |
| 1659857670 | Sara Roberta Avalos Hernandez | Student in an Organized Health Care Education/Training Program | 2451 Usa Medical Center Drive, Moorer Building, Rm 120, Mobile, AL 36617 | 2018-07-12 |
| 1669978359 | Colin Thomas Buckley | Student in an Organized Health Care Education/Training Program | 2451 Usa Medical Center Dr. Rm 714, Mobile, AL 36617 | 2018-04-02 |
| 1336644590 | Shuo Shawn Liu | Student in an Organized Health Care Education/Training Program | 2451 Usa Medical Center Dr., Moorer Bldg. Room 120, Mobile, AL 36617 | 2018-03-28 |
| 1609308741 | Kulwant Singh Bath | Student in an Organized Health Care Education/Training Program | 2451 Fillingim St Res Box 7th Floor, Mobile, AL 36617 | 2017-03-29 |
| 1780115238 | Lindsay Dianne Williams | Student in an Organized Health Care Education/Training Program | 2451 Fillingim St., Mst 709, Mobile, AL 36617 | 2017-03-27 |
| Find all providers in zip 36617 | ||||
| Taxonomy Code | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154716603 | Shane Joseph | Radiology | 2451 Fillingim St # 315, Mobile, AL 36617-2238 | 2015-04-01 |
| 1164692711 | Melanie Helene Clark | Radiology | 4354a Old Shell Rd # 324, Mobile, AL 36608-2011 | 2008-03-10 |
| 1598786683 | Charles T. Lenton Jr. | Radiology | 350 W Delwood Dr, Mobile, AL 36606-1723 | 2006-07-22 |
| 1881632040 | Sammie I. Long | Radiology | 1817 Spring Brook Ct, Mobile, AL 36609-2587 | 2006-06-02 |
| 1215930813 | Rife E Huckabee | Radiology | 6576 Airport Blvd, Bldg C-2, Mobile, AL 36608-6768 | 2005-05-27 |
| 1326041203 | David R. Hassell | Radiology | 6801 Airport Blvd, Mobile, AL 36608-3709 | 2005-05-24 |
| 1609434067 | Usa Health Physician Billing Services LLC | Radiology | 2451 University Hospital Dr, Mobile, AL 36617-2300 | 2019-05-31 |
| 1770978454 | Michael Ferrer Aguilar | Radiology | 2451 University Hospital Dr, Mobile, AL 36617-2300 | 2015-03-31 |
| 1427478106 | Christopher H Bolling Jr. | Radiology | 3719 Dauphin Street, Mobile, AL 36608-1753 | 2014-04-22 |
| 1659799237 | Brian Kenneth Wood | Radiology | 2451 Fillingim St, Dept of Radiology, Mobile, AL 36617-2238 | 2014-04-01 |
| Find all providers in MOBILE | ||||
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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.