SHAWN BRANDENBURG


Address: 2799 W Grand Blvd, Detroit, MI 48202-2608
Phone: 2484205458

SHAWN BRANDENBURG (NPI# 1407143068) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1407143068
Entity Type Individual
Full Name SHAWN BRANDENBURG
Credential M.D.
Practice Address 2799 W Grand Blvd
Detroit
MI 48202-2608
Practice Telephone 2484205458
Enumeration Date 2011-07-05
Last Update Date 2017-06-22
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 2085B0100X Radiology
Specialization: Body Imaging
4301099089 MI Allopathic & Osteopathic Physicians
Y 2085R0202X Radiology
Specialization: Diagnostic Radiology
4301099089 MI Allopathic & Osteopathic Physicians

Other Providers SHAWN BRANDENBURG

NPI Name Taxonomy Address Enumeration
1164861449 Shawn R Brandenburg Orthopaedic Surgery 4508 38th Street, Suite 133, Columbus, NE 68601-1668 2013-06-19

Office Location

Street Address 2799 W GRAND BLVD
City DETROIT
State MI
Zip Code 48202-2608

Providers in the same location

NPI Name Taxonomy Address Enumeration
1235132069 Donna Prince Radiology 2799 W Grand Blvd, Detroit, MI 48202-2608 2005-05-24
1790386704 Alexandria L Blevins Nurse Practitioner 2799 W Grand Blvd, Detroit, MI 48202-2608 2020-11-05
1255932430 Amy Katlyn Carion 2799 W Grand Blvd, Detroit, MI 48202-2608 2020-11-04
1871194415 Alexandria Denise Roberts Physical Therapist 2799 W Grand Blvd, Detroit, MI 48202-2689 2020-11-02
1174121420 John Charles Sanno Nurse Practitioner 2799 W Grand Blvd, Detroit, MI 48202-2689 2020-10-09
1932706991 Fallon J Awe Nurse Practitioner 2799 W Grand Blvd, Detroit, MI 48202-2608 2020-10-02
1922615145 Chelsea Elizabeth Owen Nurse Anesthetist, Certified Registered 2799 W Grand Blvd, Detroit, MI 48202-2608 2020-10-01
1275130395 Zana Latkovac Nurse Practitioner 2799 W Grand Blvd, Detroit, MI 48202-2608 2020-10-01
1487260030 Jessica Lee Moret Nurse Practitioner 2799 W Grand Blvd, Detroit, MI 48202-2608 2020-09-18
1932713237 Lucas Costa Santos Anesthesiology 2799 W Grand Blvd, Detroit, MI 48202-2608 2020-09-03
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1710584602 Andrea Irene Martin Audiologist 2799 E Grand Blvd, Detroit, MI 48202 2020-10-05
1174132583 Odei Alayyas Student in an Organized Health Care Education/Training Program 2799 W. Grand Boulevard Henry Ford Hospital, Medical Ed, Detroit, MI 48202 2020-07-31
1912529801 Aroob Nabil Nimer Sweidan Student in an Organized Health Care Education/Training Program 2799 West Grand Boulvard, Department of Internal Meidicine, Cfp 1, Detroit, MI 48202 2020-05-13
1306485636 Katie Burlen-davis Registered Nurse 9045 Woodward Ave, Detroit, MI 48202 2020-01-03
1407401250 Santhalakshmi Angappan Student in an Organized Health Care Education/Training Program Henry Ford Hospital Medical Education Department, 2799 W. Grand Boulevard, Detroit, MI 48202 2019-08-08
1851945687 Walter Mitini Etoh Nurse Practitioner Henry Ford Hospital I1 Observation, 2799 W. Grand Blvd, Detroit, MI 48202 2019-07-30
1467913756 Andrew Michael Schock Emergency Medicine Ceci Murrell-harvey, Henry Ford Hospital, 2799 W. Grand. Blvd, Cfp 046, Detroit, MI 48202 2019-03-28
1700363892 Zaid Al-saheli Student in an Organized Health Care Education/Training Program 2799 W. Grand Blvdl, Cfp 046, Hope Peck, Detroit, MI 48202 2018-07-23
1932690096 Yusuf Naser Alalwan Student in an Organized Health Care Education/Training Program 2799 W. Grand Blvd. Henry Ford Hospital - Gme Office, Detroit, MI 48202 2018-05-24
1568952729 Kelvin Sellers Massage Therapist 832 Seward, Detriot, MI 48202 2018-05-14
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Taxonomy Information

Taxonomy Code 2085R0202X
Grouping Allopathic & Osteopathic Physicians
Classification Radiology
Specialization Diagnostic Radiology

Taxonomy Definition

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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1194017970 Zhen Wu Radiology 4646 John R St., Radiology Department, Detroit, MI 48201 2011-05-11
1548492028 Joseph Ugorji Radiology 5766 Trumbull St Apt 112, Detroit, MI 48208-1776 2009-08-17
1194954867 Nithin Thummala Radiology 4201 Saint Antoine St Rm 3l-8, Detroit, MI 48201-2153 2009-07-02
1659509305 Sanjay N Soni Radiology 4201 St Antoine 9c Uhc, Detroit Medical Center, Detroit, MI 48201 2009-07-01
1700010311 Pratima Karia Radiology 4201 Saint Antoine St # 3l8, Department of Radiology, Detroit, MI 48201-2153 2009-05-11
1386816288 Roland E Gazaille IIi Radiology 2799 West Grand Blvd A-4 Diagnostic Radiology, Henry Ford Health System, Detroit, MI 48202-3450 2008-03-31
1144430422 Khalid Kurbanali Javeri Radiology 2799 W Grand Blvd Ste 109, Detroit, MI 48202-2608 2007-05-23
1588871826 Khurshaid Alam Radiology 4648 John R St, John Dingell Va Medical Center, Detroit, MI 48201-1916 2007-05-17
1659449395 Matthew C. Rheinboldt Radiology 2799 W. Grand Blvd, Henry Ford Dept of Radiology, Detroit, MI 48202-2689 2006-12-01
1528077567 Sampath Ramachandran Radiology 2799 West Grand Boulevard, Detroit, MI 48202 2006-08-07
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Competitor

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City DETROIT
Zip Code 48202

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Dataset Information

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.

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