DR. Brandon Micheal Tanner, M.D. is a student in an organized health care education training program in Indianapolis, IN. The provider is an individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. DR. Brandon Micheal Tanner, M.D. NPI is 1043692478. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
The provider's business location address is:
1130 W MICHIGAN ST # FH204
INDIANAPOLIS, IN
ZIP 46202-209
Phone: (317) 274-0076
The NPI 1043692478 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.
The enumeration date for this NPI number is 6/22/2015 and was last updated on 6/25/2018.