AARON RAPHAEL BARNARD BRANDIS (NPI# 1538326798) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1538326798 |
Entity Type | Individual |
Full Name | AARON RAPHAEL BARNARD BRANDIS |
Credential | MD |
Practice Address |
620 Skyline Dr Jackson TN 38301-3923 |
Mailing Address |
Po Box 678210 Dallas TX 75267-8210 |
Practice Telephone | 7315415000 |
Practice Fax Number | 4238261290 |
Mailing Telephone | 4238261290 |
Mailing Fax Number | 4238261290 |
Enumeration Date | 2008-05-16 |
Last Update Date | 2019-04-16 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2085R0204X |
Radiology Specialization: Vascular & Interventional Radiology |
590014 | TN | Allopathic & Osteopathic Physicians |
N | 2085R0204X |
Radiology Specialization: Vascular & Interventional Radiology |
MD451243 | PA | Allopathic & Osteopathic Physicians |
N | 390200000X | Student in an Organized Health Care Education/Training Program | AZ | Student, Health Care |
Address | Telephone Number | Fax Number |
---|---|---|
3400 Spruce St, Philadelphia, PA 191044238 | 2156623000 |
Street Address |
620 SKYLINE DR |
City | JACKSON |
State | TN |
Zip Code | 38301-3923 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1821094608 | Julie A Mcbroom | Nurse Anesthetist, Certified Registered | 620 Skyline Dr, Jackson, TN 38301-3923 | 2005-06-25 |
1205440260 | Heather Middleton | Registered Nurse | 620 Skyline Dr, Jackson, TN 38301-3923 | 2020-09-06 |
1780297291 | Holly R Jones | Nurse Practitioner | 620 Skyline Dr, Jackson, TN 38301-3923 | 2020-08-25 |
1851909972 | Earl Wade Lomax | Student in an Organized Health Care Education/Training Program | 620 Skyline Dr, Jackson, TN 38301-3923 | 2020-07-15 |
1356960835 | Gregory Heath Mcneely | Registered Nurse | 620 Skyline Dr, Jackson, TN 38301-3923 | 2020-04-14 |
1174157515 | Matthew Lee Luttrell | Nurse Practitioner | 620 Skyline Dr, Jackson, TN 38301-3923 | 2020-02-25 |
1528698594 | Heidi Hill | Nurse Practitioner | 620 Skyline Dr, Jackson, TN 38301-3923 | 2020-01-18 |
1407406861 | Justin Harrison | Nurse Anesthetist, Certified Registered | 620 Skyline Dr, Jackson, TN 38301-3923 | 2019-09-18 |
1770131856 | Shelby Kathryn Berry | Nurse Anesthetist, Certified Registered | 620 Skyline Dr, Jackson, TN 38301-3923 | 2019-08-30 |
1891342028 | Jack Harold Fields IIi | Nurse Anesthetist, Certified Registered | 620 Skyline Dr, Jackson, TN 38301-3923 | 2019-08-22 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1124634696 | Lindsey Crowder | Social Worker | 127 Mccowat Street, Jackson, TN 38301 | 2020-09-21 |
1366928087 | Primary Care - South Limited | Clinic/Center | 1385 South Highland Ave, Suite B-1, Jackson, TN 38301 | 2018-07-16 |
1629592522 | Tlc Home Care Services, LLC | In Home Supportive Care | 39 Old Denmark Rd, Jackson, TN 38301 | 2017-08-01 |
1841730421 | Southern Hands Quality Care | In Home Supportive Care | 1298 N. Highland Avenue. Suite 14, Jackson, TN 38301 | 2017-03-02 |
1881044477 | Katie Mcmickin | Counselor | 163 Sunnyside Dr, Jackson, TN 38301 | 2016-06-15 |
1164815064 | Hailey Archer | Dietitian, Registered | 720 W. Forest Ave., Jackson, TN 38301 | 2015-03-17 |
1740673714 | Regina Tignor | Nurse Practitioner | 1410 Us Highway 70 Byp, Jackson, TN 38301 | 2015-03-13 |
1194114033 | Woman's Clinic | Obstetrics & Gynecology | 242 Coatsland, Jackson, TN 38301 | 2015-01-15 |
1659797702 | Worthy Walker Arrington | Nurse Practitioner | 720 West Forest Avenue, Jackson, TN 38301 | 2014-03-13 |
1669717302 | Lift Wellness Inc | General Practice | 101 Jackson Walk Plaza, Jackson, TN 38301 | 2012-12-06 |
Find all providers in zip 38301 |
Taxonomy Code | 2085R0204X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Radiology |
Specialization | Vascular & Interventional Radiology |
A radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1376157099 | Kathryn Taylor Parvin | Radiology | 969 Lakeland Dr, Jackson, MS 39216-4699 | 2020-09-01 |
1235558537 | Carson Kisner | Radiology | 60 Physicians Dr, Jackson, TN 38305-2070 | 2014-04-15 |
1780021170 | Ajinkya Shrinivas Desai | Radiology | 2500 N State St, Jackson, MS 39216-4500 | 2013-05-27 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1487277042 | Via Institutes Pllc | Radiology | 8886 Classic Dr, Memphis, TN 38125-8839 | 2020-05-18 |
1609334713 | Paul Wooten | Radiology | 1729 Curie St, Alcoa, TN 37701-1700 | 2019-03-07 |
1295112498 | David R Zielske | Radiology | 839 Treemont Ct, Nashville, TN 37220-1536 | 2015-04-27 |
1760820625 | John Dalton Braun | Radiology | 7600 Wolf River Blvd Ste 200, Germantown, TN 38138 | 2013-06-12 |
1942551270 | Sam J Williams IIi | Radiology | 1610 Shore View Ln, Hixson, TN 37343-4646 | 2012-09-26 |
1144485418 | Vijaykumar Agrawal | Radiology | 865 Jefferson Avenue Department of Radiology, F150 Chandler, Memphis, TN 38163-0001 | 2008-07-25 |
1780618942 | Tennessee Phlebology PC | Radiology | 9020 Overlook Blvd Ste 150, Brentwood, TN 37027-2727 | 2006-07-11 |
1104883966 | Jason Glen Funderburk | Radiology | 116 Concord Rd, Suite 500, Knoxville, TN 37934-2940 | 2006-04-27 |
1851865794 | Zeni Interventional Pllc | Radiology | 6126 Poplar Ave, Memphis, TN 38119-4710 | 2019-01-14 |
1841799707 | Southern Pain and Regenerative Medicine PC | Radiology | 176 Briarwood St Ste B, Camden, TN 38320-1456 | 2018-02-06 |
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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.