DR. MICHAEL STEPHEN BRANDON JR. (NPI# 1285759720) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285759720 |
| Entity Type | Individual |
| Full Name | DR. MICHAEL STEPHEN BRANDON JR. |
| Credential | D.D.S. |
| Practice Address |
3301 Berrywood Dr Columbia MO 65201-6517 |
| Mailing Address |
Po Box 843966 Kansas City MO 64184-3966 |
| Practice Telephone | 5738846253 |
| Practice Fax Number | 5738759150 |
| Mailing Telephone | 5738823974 |
| Mailing Fax Number | 5738840943 |
| Enumeration Date | 2007-03-21 |
| Last Update Date | 2019-05-09 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 122300000X | Dentist | 4281 | SC | Dental Providers |
| Y | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
2017017086 | MO | Dental Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1051 Gardner Rd Ste A, Charleston, SC 29407 | 8437697759 | 8437697761 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821587577 | Michael Vincent Brandon | Chiropractor | 9 Professional Cir Ste 202, Colts Neck, NJ 07722-2427 | 2018-05-08 |
| 1306958038 | Michael Brandon | Psychologist | 620 West Main, Suite 1, League City, TX 77573-3760 | 2006-08-31 |
| 1679108104 | Michael K. Brandon II | Registered Nurse | 709 Hollybrook Dr Ste 5605, Longview, TX 75605-2416 | 2020-03-04 |
| 1407406614 | Michael Brandon | Behavior Technician | 238 S Meridian Rd, Youngstown, OH 44509-2925 | 2019-09-19 |
| 1386934404 | Michael Stephan Brandon Jr. | Emergency Medicine | 36475 Five Mile Rd, Livonia, MI 48154-1971 | 2011-04-11 |
| 1104919257 | Michael S Brandon | Anesthesiology | 2 Progress Point Pkwy, Dept Anesthesiology, O Fallon, MO 63368-2205 | 2006-10-02 |
| Street Address |
3301 BERRYWOOD DR |
| City | COLUMBIA |
| State | MO |
| Zip Code | 65201-6517 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801847033 | Bdm Associates LLC | Occupational Therapist | 3301 Berrywood Dr, Suite 204, Columbia, MO 65201-6517 | 2006-05-12 |
| 1013534452 | Rachel Muenks | Physical Therapist | 3301 Berrywood Dr, Columbia, MO 65201-6517 | 2020-07-01 |
| 1003435454 | Robin Elizabeth Howard-boyd | Occupational Therapist | 3301 Berrywood Dr, Columbia, MO 65201-6517 | 2020-04-15 |
| 1235697913 | Curators of The University of Missouri | Dentist | 3301 Berrywood Dr, Columbia, MO 65201-6517 | 2019-03-12 |
| 1881097202 | Andrew Kirby | Physical Therapist | 3301 Berrywood Dr, Suite 204, Columbia, MO 65201-6517 | 2014-09-30 |
| 1548679558 | Aaron Myers | Physical Therapist | 3301 Berrywood Dr, Suite 204, Columbia, MO 65201-6517 | 2014-08-05 |
| 1316352685 | Jennifer Wynn | Physical Therapist | 3301 Berrywood Dr, Suite 204, Columbia, MO 65201-6517 | 2014-06-25 |
| 1700291077 | Jacie Elliott | Physical Therapist | 3301 Berrywood Dr, Suite 204, Columbia, MO 65201-6517 | 2014-06-25 |
| 1396156097 | David E Ford | Specialist/Technologist | 3301 Berrywood Dr, Suite 204, Columbia, MO 65201-6517 | 2014-05-15 |
| 1588924138 | Bryce E Roark | Specialist/Technologist | 3301 Berrywood Dr, Suite 204, Columbia, MO 65201-6517 | 2012-05-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134688534 | Thomas Havey | Specialist/Technologist | 600 E Stadium Boulevard, Columbia, MO 65201 | 2019-03-15 |
| 1881176121 | Darrea L Green | Nurse Practitioner | 3700 Interstate 70 Dr Se, Columbia, MO 65201 | 2018-09-04 |
| 1073092383 | Andrea L. Lingenfelter | Registered Nurse | 1605 East Broadway, Ste. 100, Columbia, MO 65201 | 2018-08-08 |
| 1144724238 | Angela Marie Richmond | Internal Medicine | 1 Hospital Dr Rm Ma423, Columbia, MO 65201 | 2018-03-22 |
| 1770092892 | Palmer's Home Care, LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 701 Hillsdale Road, Columbia, MO 65201 | 2017-09-20 |
| 1205358710 | Mitchell E Swee | Specialist/Technologist | 600 East Stadium Blvd, Columbia, MO 65201 | 2017-07-17 |
| 1659815470 | Colleen Jockin | Specialist | 100 Matc, Columbia, MO 65201 | 2016-12-13 |
| 1720535305 | Hannah Garrad | Dietitian, Registered | Columbia 3, 25 Conley Road, Columbia, MO 65201 | 2016-09-01 |
| 1043662570 | Restoration Chiropractic LLC | Chiropractor | 1413 Grindstone Plaza Drive, Columbia, MO 65201 | 2016-07-08 |
| 1306298930 | Taylor John Sirois | Chiropractor | 1413 Grindstone Plaza Dr., Columbia, MO 65201 | 2016-07-07 |
| Find all providers in zip 65201 | ||||
| Taxonomy Code | 1223S0112X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Oral and Maxillofacial Surgery |
| The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740810845 | Akeso Columbia Office LLC | Dentist | 6798 Oak Hall Ln Ste A-1, Columbia, MD 21045-4892 | 2020-01-17 |
| 1679809958 | Mathew K Woodward | Dentist | 5397 Twin Knolls Rd Ste 18, Columbia, MD 21045-3256 | 2009-10-21 |
| 1679730709 | Antoine Gerard Johnson | Dentist | 8860 Columbia 100 Pkwy Ste 308, Columbia, MD 21045-2298 | 2008-05-16 |
| 1497829311 | Darren Richard Cross | Dentist | 611 Oneil Ct, Columbia, SC 29223-7656 | 2006-11-20 |
| 1427121078 | Joseph John Krupa IIi | Dentist | 3304 Forest Dr, Columbia, SC 29204-4024 | 2006-11-15 |
| 1194748285 | Paul Edward Cullum | Dentist | 105 Berrywood Dr, Columbia, TN 38401-6409 | 2006-07-26 |
| 1508885682 | Michael Illar Muul | Dentist | 6798 Oak Hall Ln, Suite A1, Columbia, MD 21045-4892 | 2006-07-19 |
| 1952353732 | James Winston Strider Jr. | Dentist | 9310 Two Notch Road, Columbia, SC 29223 | 2006-05-17 |
| 1952376964 | Timothy Thomas Coyle | Dentist | 3015 S Providence Rd, Suite 5, Columbia, MO 65203 | 2006-02-22 |
| 1497720841 | George Alan Hurwitz | Dentist | 10782 Hickory Ridge Rd, Columbia, MD 21044-3646 | 2006-02-21 |
| Find all providers in COLUMBIA | ||||
Please comment or provide details below to improve the information on DR. MICHAEL STEPHEN BRANDON JR..
| 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.