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BRANNON PEDIATRIC SERVICES INC. NPI 1356694806


NPI Information

NPI: 1356694806
Provider Name: BRANNON PEDIATRIC SERVICES, INC.
Classification: Physical Therapist - 2251P0200X
Entity Type: Organization

Specialization: Pediatrics

Address:
634 TOMMY AARON DR
GAINESVILLE, GA
ZIP 30506
Phone: (770) 503-7337
Get Directions

BRANNON PEDIATRIC SERVICES, INC. is a pediatrics physical therapist in Gainesville, GA. The provider is a licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Pediatric Physical Therapy, who has demonstrated specialized knowledge and skill in anatomy, histology, including embryonic development, genetics, biomechanics, neurological function, neuroscience, and pathology, behavioral sciences, and understanding of diseases or conditions that necessitate physical therapy care, that affect systems that in turn necessitate physical therapy care (comorbidities), and that influence the type of intervention that can be given. BRANNON PEDIATRIC SERVICES, INC. NPI is 1356694806. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

634 TOMMY AARON DR
GAINESVILLE, GA
ZIP 30506-504
Phone: (770) 503-7337

The provider's authorized official is Tammy C Brannon .
The authorized official title is Director/owner and has the following contact phone number (770) 503-7337.

The enumeration date for this NPI number is 10/22/2012 and was last updated on 3/25/2014.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12251P0200XPhysical TherapistPediatricsGEORGIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
11407055692MEDICAIDGEORGIA
21811019326MEDICAIDGEORGIA
31225346299MEDICAIDGEORGIA
41679639355MEDICAIDGEORGIA
51770653297MEDICAIDGEORGIA
61174645725MEDICAIDGEORGIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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