DR. BRANDON ROBERT MANCINI (NPI# 1366731838) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366731838 |
| Entity Type | Individual |
| Full Name | DR. BRANDON ROBERT MANCINI |
| Credential | M.D. |
| Practice Address |
1500 E Medical Center Drive B2 Floor University Hospital Rm C490 Ann Arbor MI 48109-5010 |
| Mailing Address |
3621 S State St 700 Kms Place Ann Arbor MI 48108 |
| Practice Telephone | 7349364300 |
| Mailing Telephone | 7349362047 |
| Enumeration Date | 2011-04-05 |
| Last Update Date | 2016-09-02 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0001X |
Radiology Specialization: Radiation Oncology |
4301110708 | MI | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
1500 E MEDICAL CENTER DRIVE B2 FLOOR UNIVERSITY HOSPITAL RM C490 |
| City | ANN ARBOR |
| State | MI |
| Zip Code | 48109-5010 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023016805 | Barbara Rose Van Kainen | Midwife | 1500 E Medical Center Drive, Von Voigtlander Women's Hospital, Ann Arbor, MI 48109-4256 | 2005-07-14 |
| 1598372716 | Stephen Kofi Wemakor | Student in an Organized Health Care Education/Training Program | 1500 E Medical Center Drive, Uh South F-6245, Ann Arbor, MI 48109 | 2020-09-30 |
| 1073138707 | Brigit Devine Baglien | Student in an Organized Health Care Education/Training Program | 1500 E Medical Center Drive, 2130 Taubman Center, Spc 5340, Ann Arbor, MI 48109 | 2020-06-09 |
| 1598388605 | Madison Veronica Epperson | Student in an Organized Health Care Education/Training Program | 1500 E Medical Center Drive, 1903 Taubman Center, Spc 5312, Ann Arbor, MI 48109-5312 | 2020-05-22 |
| 1811510175 | Nathan Emery Loudon | Student in an Organized Health Care Education/Training Program | 1500 E Medical Center Drive, Uh B1 502, Spc 5030, Ann Arbor, MI 48109-5030 | 2020-05-21 |
| 1770106304 | Drew Jackson Braet | Student in an Organized Health Care Education/Training Program | 1500 E Medical Center Drive, 5346 Cvc Spc 5967, Ann Arbor, MI 48109 | 2020-05-18 |
| 1710509872 | Lawrence Jordan Breyfogle | Student in an Organized Health Care Education/Training Program | 1500 E Medical Center Drive, Uh B1d530, Spc 5030, Ann Arbor, MI 48109-5030 | 2020-05-12 |
| 1649891631 | Apoorv Dhir | Student in an Organized Health Care Education/Training Program | 1500 E Medical Center Drive, Taubman Center, 2nd Floor, Reception C, Ann Arbor, MI 48109-5330 | 2020-04-30 |
| 1659992741 | Kristian Marquis Black | Student in an Organized Health Care Education/Training Program | 1500 E Medical Center Drive, Taubman Center, 2nd Floor, Reception C, Ann Arbor, MI 48109-5330 | 2020-04-30 |
| 1972124063 | Jake Claflin | Student in an Organized Health Care Education/Training Program | 1500 E Medical Center Drive, Taubman Center, 2nd Floor, Reception C, Ann Arbor, MI 48109-5330 | 2020-04-30 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558987024 | Albert Byun | Student in an Organized Health Care Education/Training Program | 1500 E.medical Center Dr., 1h247, Ann Arbor, MI 48109 | 2020-06-22 |
| 1851914931 | Nadine Ibrahim | Student in an Organized Health Care Education/Training Program | 1500 E. Medical Center Drive, Spc 5312, Taubman Center, 1st Floor, Room 1903, Ann Arbor, MI 48109 | 2020-05-22 |
| 1568083350 | Tucker Zimmer | Student in an Organized Health Care Education/Training Program | 1500 E Medical Center Dr, Uh South F-6245, Ann Arbor, MI 48109 | 2020-05-03 |
| 1144841099 | Jessica Moore Meves | Student in an Organized Health Care Education/Training Program | 1500 E Medical Center Drive, Uh South F-6245, Ann Arbor, MI 48109 | 2020-05-01 |
| 1710522297 | Xiaoyuan Hu | Specialist/Technologist | Obl 2150, 1402 Washington Hts, Ann Arbor, MI 48109 | 2019-11-08 |
| 1376192401 | Regina Kay Freeman | Clinical Nurse Specialist | 4726 Cardiovascular Center, 1500 E Medical Center Dr, Ann Arbor, MI 48109 | 2019-09-11 |
| 1477114155 | William Philip Saunders IIi | Student in an Organized Health Care Education/Training Program | 300 N Ingalls Building, Rm Ni4co6, Ann Arbor, MI 48109 | 2019-06-24 |
| 1093290447 | Teresa H Lyden | Speech-Language Pathologist | 1500 E. Medical Center Dr., Spc 5312, 1904 Tc, Otolaryngology-head and Neck Surgery, Ann Arbor, MI 48109 | 2018-10-02 |
| 1649755091 | Anna Grace Hardenbergh | Speech-Language Pathologist | 1500 E. Medical Center Drive Tc 1904, Otolaryngology Head and Neck Surgery, Ann Arbor, MI 48109 | 2018-10-02 |
| 1548754609 | Amy Wu | Pediatrics | 1500 East Medical Center Drive., Medical Professional Bldg. D-3238, Ann Arbor, MI 48109 | 2018-06-21 |
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| Taxonomy Code | 2085R0001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Radiation Oncology |
| A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors. |
| 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 Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013329382 | Jaipreet S Suri | Radiology | 1500 E Medical Center Dr, Ann Arbor, MI 48109-5000 | 2014-05-21 |
| 1265852362 | William Carl Jackson | Radiology | 1500 E Medical Center Dr, Ann Arbor, MI 48109-5000 | 2014-04-16 |
| 1609131523 | Stuart E Samuels | Radiology | 1500 E Medical Center Dr, Ann Arbor, MI 48109-5000 | 2012-07-06 |
| 1891052262 | Daniel Richard Wahl | Radiology | 1500 E Medical Center Dr, B2 Floor University Hospital Rm C490, Ann Arbor, MI 48109-5010 | 2012-04-23 |
| 1861759029 | Enid W Choi | Radiology | 1500 East Medical Center Dr, B2 Floor University Hospital Rm C490, Ann Arbor, MI 48109-5010 | 2012-04-12 |
| 1336415439 | Christina Hunter Chapman | Radiology | 1500 E Medical Center Dr, B2 Floor University Hospital Rm C490, Ann Arbor, MI 48109-5010 | 2012-03-22 |
| 1497044085 | David Alan Elliott | Radiology | 1500 E Medical Center Dr, Ann Arbor, MI 48109-5000 | 2011-04-04 |
| 1780905901 | Daniel E Spratt | Radiology | 1500 E Medical Center Drive, B2 Floor University Hospital Rm C490, Ann Arbor, MI 48109-5010 | 2010-06-22 |
| 1932429172 | Corey Wayne Speers | Radiology | 1500 E Medical Center Dr, B2 Floor University Hospital Rm C490, Ann Arbor, MI 48109-5010 | 2010-06-10 |
| 1437475274 | Jason W Hearn | Radiology | 1500 E Medical Center Drive, B2 Floor University Hospital Rm C490, Ann Arbor, MI 48109-5010 | 2010-04-19 |
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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.