GILBERT THEODORE BRANDON (NPI# 1811987050) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1811987050 |
Entity Type | Individual |
Full Name | GILBERT THEODORE BRANDON |
Credential | MD |
Practice Address |
1740 Memorial Dr Clarksville TN 37043-4561 |
Mailing Address |
Po Box 3799 Dept A Clarksville TN 37043-3799 |
Practice Telephone | 9312458700 |
Practice Fax Number | 9312458747 |
Mailing Telephone | 9312458700 |
Mailing Fax Number | 9312458747 |
Enumeration Date | 2005-10-27 |
Last Update Date | 2013-05-03 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207Y00000X | Otolaryngology | 14164 | TN | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
TN | 3032426 | 05 | |
TN | RR MEDICARE | 040008556 | 01 |
Street Address |
1740 MEMORIAL DR |
City | CLARKSVILLE |
State | TN |
Zip Code | 37043-4561 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1013910892 | Emiko Jane Lejeune | Audiologist | 1740 Memorial Dr, Clarksville, TN 37043-4561 | 2005-05-24 |
1194108522 | Katelyn A Crockett | Audiologist | 1740 Memorial Dr, Suite 1, Clarksville, TN 37043-9500 | 2015-07-02 |
1548575590 | Aubrey Jennifer Carr | Audiologist | 1740 Memorial Dr, Clarksville, TN 37043-9500 | 2010-08-15 |
1790983104 | Center for Audiology, PC | Clinic/Center | 1740 Memorial Dr, Suite 1, Clarksville, TN 37043-4561 | 2007-07-06 |
1376699231 | Jenny Lynn Kingsbury | Audiologist | 1740 Memorial Dr, Clarksville, TN 37043-4561 | 2007-01-25 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1952958464 | Barbara Gallahan | Technician | 3992 Lakewood Dr., Clarksville, TN 37043 | 2019-08-20 |
1144874728 | Intricate Care | Registered Nurse | 2299 Raleigh Ct, Clarksville, TN 37043 | 2019-07-31 |
1740842145 | Caila Anne Wiblitzhouser Holm | Counselor | 755 Weatherly Drive, Clarksville, TN 37043 | 2019-07-05 |
1407416407 | Heartland Dental Care of Tennessee, PC | Dentist | 930 Highway 76, Clarksville, TN 37043 | 2019-06-20 |
1376021501 | Stephen Lawrence Rego | Case Manager/Care Coordinator | Cohen Military Family Clinic, 775 Weatherly Dr, Clarksville, TN 37043 | 2018-07-31 |
1366928095 | Kendra Lee | Social Worker | 775 Weatherly Dr., Clarksville, TN 37043 | 2018-07-16 |
1245742931 | Andrea L Edelstein | Dentist | 1818 Memorial Dr., Unit 47, Clarksville, TN 37043 | 2017-11-02 |
1043736119 | Megan Pritchett Landre | Behavior Technician | 990 South Ridge Trail, Clarksville, TN 37043 | 2017-08-20 |
1932624798 | Sandra Melissa Corral | Behavior Technician | 139e Old Trenton Rd, Suite B, Clarksville, TN 37043 | 2017-08-13 |
1700306032 | Sahiti Kandati | Dentist | 1777 Madison Ste Ste 100, Clarksville, TN 37043 | 2017-06-27 |
Find all providers in zip 37043 |
Taxonomy Code | 207Y00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Otolaryngology |
An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Otolaryngology, 2007. http://www.aboto.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Otolaryngology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1710036017 | James D Oenbrink | Otolaryngology | 10048 State Road 20 W, Clarksville, FL 32430-3166 | 2007-01-09 |
1174637946 | Randolph M Richards | Otolaryngology | 787 Weatherly Dr, Suite 200, Clarksville, TN 37043-8949 | 2006-08-18 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1932622396 | Ear, Nose & Throat Specialists of Nashville At Goodlettsville | Otolaryngology | 3050 Business Park Cir Ste 101, Goodlettsville, TN 37072-3588 | 2017-07-18 |
1386011468 | Wiliam Gray Davis | Otolaryngology | 5709 Hearthstone Ln, Brentwood, TN 37027-4313 | 2015-08-25 |
1598059545 | Daniel Sacks | Otolaryngology | 4601 Carothers Pkwy Ste 215, Franklin, TN 37067-6003 | 2011-06-07 |
1821231572 | John Heaphy | Otolaryngology | Vumc Dept of Oto Med Ctr East South Tower, 1215 21st Avenue South, Suite 7209, Nashville, TN 37232-8605 | 2009-04-10 |
1023262466 | Alexander Gelbard | Otolaryngology | Vanderbilt Voice Ctr, 1215 21rst Ave. South. Suite 7302, Nashville, TN 37232-8783 | 2008-11-12 |
1699938886 | Jonathan P Hayes | Otolaryngology | 9430 Park West Blvd Ste 330, Knoxville, TN 37923-4203 | 2008-07-08 |
1780869735 | Denneny Ent Consultants, Pllc | Otolaryngology | 101 E Blount Ave Ste G10, Knoxville, TN 37920-1637 | 2008-01-08 |
1154505428 | Clyde Columbus Mathison II | Otolaryngology | 144 Concord Rd Dept Of, Farragut, TN 37934-2901 | 2007-12-21 |
1326242975 | David Allen Gilpin | Otolaryngology | 2301 21st Ave S Ste 300, Nashville, TN 37212-4946 | 2007-06-14 |
1407057276 | Mid-south Ear, Nose, and Throat, P.C. | Otolaryngology | 7600 Wolf River Blvd Ste 220, Germantown, TN 38138-1788 | 2007-05-30 |
Find all providers with the same taxonomy |
City | CLARKSVILLE |
Zip Code | 37043 |
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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.