DR. BRANDON KEITH CONNERLY (NPI# 1558361899) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558361899 |
| Entity Type | Individual |
| Full Name | DR. BRANDON KEITH CONNERLY |
| Credential | MD |
| Practice Address |
1601 E Whiskey Run Rd Ne New Salisbury IN 47161-9345 |
| Practice Telephone | 8123479977 |
| Enumeration Date | 2005-07-28 |
| Last Update Date | 2012-11-27 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 01058296A | IN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 2475101 | 05 | |
| IN | 200459910 | 05 | |
| IN | BC/BS # | 000000322352 | 01 |
| Street Address |
1601 E WHISKEY RUN RD NE |
| City | NEW SALISBURY |
| State | IN |
| Zip Code | 47161-9345 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750389318 | John Edwin Mccollum | General Practice | 1601 E Whiskey Run Rd Ne, New Salisbury, IN 47161-9345 | 2005-07-08 |
| 1154437424 | Harrison County Hospital | Family Medicine | 1601 E Whiskey Run Rd Ne, New Salisbury, IN 47161-9345 | 2006-08-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518279967 | Taillc | Clinic/Center | 3195 Whispering Woods Lane, New Salisbury, IN 47161 | 2010-07-13 |
| 1255855862 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 1673 Highway 64 Ne, New Salisbury, IN 47161 | 2017-07-26 |
| 1669558862 | Insight Eyecare Associates Inc | Optometrist | 8010 Oak Park Rd Ne, New Salisbury, IN 47161 | 2006-10-31 |
| 1891971362 | Rashidui Islam Md Inc | Surgery | 1480 Old State Road 64 Ne, New Salisbury, IN 47161-7726 | 2008-01-15 |
| 1831314202 | David E Taylor | Dentist | 1490 Old State Road 64 Ne, New Salisbury, IN 47161-7726 | 2007-04-13 |
| 1477151496 | Soshanna A Renfro | Occupational Therapist | 1789 Bethlehem Rd Ne, New Salisbury, IN 47161-7908 | 2020-10-12 |
| 1194725051 | Timothy Lee Masden | Optometrist | 8010 Oak Park Rd Ne, New Salisbury, IN 47161-8401 | 2005-07-21 |
| 1013368380 | Chelsea Werncke | Optometrist | 8010 Oak Park Rd Ne, New Salisbury, IN 47161-8401 | 2016-06-28 |
| 1548260409 | Rebecca Mae Walton | Optometrist | 8010 Oak Park Rd Ne, New Salisbury, IN 47161-8401 | 2005-07-21 |
| 1477688091 | Raymond Russell Hynds Jr. | Pharmacist | 1673 Highway 64 Ne, New Salisbury, IN 47161-8439 | 2007-02-22 |
| Find all providers in zip 47161 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154437424 | Harrison County Hospital | Family Medicine | 1601 E Whiskey Run Rd Ne, New Salisbury, IN 47161-9345 | 2006-08-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417556465 | Neuro Health Indianapolis LLC | Family Medicine | 1553 W Oak St, Zionsville, IN 46077-1840 | 2020-10-21 |
| 1740887298 | Northshore Health Centers, Inc. | Family Medicine | 651 W Morgan Ave Rm F168, Chesterton, IN 46304-2243 | 2020-10-07 |
| 1144836990 | Rachel Leigh Anderson | Family Medicine | 996 Bard Ln, Carmel, IN 46032-1072 | 2020-09-17 |
| 1073125225 | Relymd Medical Group In, LLC | Family Medicine | 9221 Crawfordsville Rd, Indianapolis, IN 46234-1521 | 2020-08-19 |
| 1386252757 | Eventus Wholehealth Midwest Inc | Family Medicine | 2100 Midway St # 3722, Columbus, IN 47201-3722 | 2020-07-21 |
| 1770105801 | My Metabolism | Family Medicine | 14342 W Prevail Dr, Carmel, IN 46033-7004 | 2020-05-12 |
| 1104452200 | Little Company of Mary Hospital of Indiana Inc | Family Medicine | 695 W 2nd St Ste D, Jasper, IN 47546-3240 | 2020-03-20 |
| 1578199345 | Stephanie Anne Dill | Family Medicine | 1101 Michigan Address, Logansport, IN 46947 | 2020-03-12 |
| 1861027641 | Megan Chloe Nonte | Family Medicine | 837 Bellbrook Rd, Loogootee, IN 47553-4612 | 2020-03-11 |
| 1477192151 | Debra Susan Hayes | Family Medicine | 455 W Industrial Dr, Terre Haute, IN 47802-9266 | 2019-12-30 |
| Find all providers with the same taxonomy | ||||
| City | NEW SALISBURY |
| Zip Code | 47161 |
Please comment or provide details below to improve the information on DR. BRANDON KEITH CONNERLY.
| 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.