DR. THEODORE BRAND (NPI# 1790784221) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1790784221 |
Entity Type | Individual |
Full Name | DR. THEODORE BRAND |
Credential | MD |
Practice Address |
5248 Timber Ridge Rd M Marietta GA 30068 |
Mailing Address |
5248 Timber Ridge Rd Marietta GA 30068 |
Practice Telephone | 4042815610 |
Practice Fax Number | 4042520645 |
Mailing Telephone | (404) 281-5610 |
Mailing Fax Number | 4042520645 |
Enumeration Date | 2005-07-18 |
Last Update Date | 2017-08-18 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2086S0120X |
Surgery Specialization: Pediatric Surgery |
28730 | GA | Allopathic & Osteopathic Physicians |
N | 2086S0120X |
Surgery Specialization: Pediatric Surgery |
028730 | GA | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
GA | 000325773A | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1962425256 | Theodore Brand | Nurse Anesthetist, Certified Registered | 7785 N State St, Lowville, NY 13367-1229 | 2006-07-26 |
Street Address |
5248 TIMBER RIDGE RD M |
City | MARIETTA |
State | GA |
Zip Code | 30068 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1831798917 | Barbara Ann Goldschmidt | Pharmacist | 4088 Lower Roswell Rd, Marietta, GA 30068 | 2020-10-20 |
1285274480 | Cory Plasker | Chiropractor | 519b Johnson Ferry Road, Suite 350, Marietta, GA 30068 | 2020-01-15 |
1952949893 | Dr Amy L Varner LLC | Internal Medicine | 1000 Johnson Ferry Rd Bldg E Ste 200, Marietta, GA 30068 | 2019-12-11 |
1417501834 | Cornerstone Hospice and Palliative Care of Georgia, LLC | Hospice Care, Community Based | 1225 Johnson Ferry Rd., Bldg. 100, Suite 160, Marietta, GA 30068 | 2019-07-25 |
1639721038 | Cayla Clark | Behavior Technician | 137 Johnson Ferry Road Suite 2170, Marietta, GA 30068 | 2019-07-15 |
1467910828 | 2me Healthcare,llc | Home Health | 2586 Club Valley Drive Ne, Marietta, GA 30068 | 2019-03-05 |
1265912604 | Feidy Chiropractic Clinic Inc, Dba Cardwell Chiropractic Clinic | Chiropractor | 1230 Johnson Ferry Pl Ste G30, Marietta, GA 30068 | 2018-08-15 |
1225514219 | Audrey Hughes. Lcsw, LLC | Clinic/Center | 1212 Johnson Ferry Rd, Suite 300, Marietta, GA 30068 | 2018-07-13 |
1316461379 | Evan King | Registered Nurse | 52 Pioneer Trl, Marietta, GA 30068 | 2017-08-01 |
1912431867 | Anthony Izore | Nurse Practitioner | 5163 Tall Oak Drive, Marietta, GA 30068 | 2017-04-18 |
Find all providers in zip 30068 |
Taxonomy Code | 2086S0120X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Surgery |
Specialization | Pediatric Surgery |
A surgeon with expertise in the management of surgical conditions in premature and newborn infants, children and adolescents. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1184948739 | Morgan Richards | Surgery | 1405 Clifton Rd Ne Dept Of, Atlanta, GA 30322 | 2010-03-24 |
1902083546 | Andrew P Bozeman | Surgery | 100 Medical Dr Ste 100, Dublin, GA 31021-2561 | 2008-01-25 |
1720278856 | Jonathan A Meisel | Surgery | 1400 Tullie Rd Ne Fl 1, Atlanta, GA 30329 | 2007-07-25 |
1326135591 | Kurt Frederick Heiss | Surgery | 1975 Century Center, Suite #6, Atlanta, GA 30345 | 2006-10-06 |
1528151859 | Amina Mira Bhatia | Surgery | 1975 Century Blvd Ne Ste 6, Atlanta, GA 30345-3316 | 2006-09-30 |
1760583710 | Megan Marie Durham | Surgery | 1975 Century Blvd Ne, Suite 6, Atlanta, GA 30345-3316 | 2006-09-25 |
1467451039 | Roger Mccoy Pitt | Surgery | 840 Pine St Ste 510, Macon, GA 31201-7530 | 2005-07-18 |
1366441941 | John Christopher Bleacher | Surgery | 5455 Meridian Marks Rd Ne, Suite 570, Atlanta, GA 30342-1654 | 2005-07-18 |
1558727289 | Cardiothoracic Providers At Childrens | Surgery | 1575 Northeast Expy Ne, Brookhaven, GA 30329-2401 | 2016-01-11 |
1932427291 | Robert Julian Vandewalle | Surgery | 1405 Clifton Rd Ne, Atlanta, GA 30322 | 2010-05-12 |
Find all providers with the same taxonomy |
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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.