AARON RAPHAEL BARNARD BRANDIS


Address: 620 Skyline Dr, Jackson, TN 38301-3923
Phone: 7315415000

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).

Provider Overview

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

Taxonomy

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

Provider Secondary Practice Location

Address Telephone Number Fax Number
3400 Spruce St, Philadelphia, PA 191044238 2156623000

Office Location

Street Address 620 SKYLINE DR
City JACKSON
State TN
Zip Code 38301-3923

Providers in the same location

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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Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 2085R0204X
Grouping Allopathic & Osteopathic Physicians
Classification Radiology
Specialization Vascular & Interventional Radiology

Taxonomy Definition

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.

Providers in the same taxonomy and city

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

Providers in the same taxonomy and state

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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Competitor

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City JACKSON
Zip Code 38301

Improve Information

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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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