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LARRY A BRANNAM MD NPI 1780658963


NPI Information

NPI: 1780658963
Provider Name: LARRY A BRANNAM, MD
Classification: Emergency Medicine - 207P00000X
Entity Type: Individual
Address:
1000 JOHNSON FERRY RD NE
ATLANTA, GA
ZIP 30342
Phone: (404) 851-6936
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Larry A Brannam, MD is an emergency medicine in Atlanta, GA. The provider is an emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. Larry A Brannam, MD NPI is 1780658963. 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:

1000 JOHNSON FERRY RD NE
ATLANTA, GA
ZIP 30342-606
Phone: (404) 851-6936

The enumeration date for this NPI number is 2/15/2006 and was last updated on 11/8/2008.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207P00000XEmergency Medicine041268GEORGIAYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
110038074OTHERGEORGIAAMERIGROUP
2000697738DMEDICAIDGEORGIA
3P00138171MEDICARE PINGEORGIA
4198017OTHERGEORGIABCBS OF GEORGIA
5333395OTHERGEORGIAWELLCARE OF GEORGIA
6D84083MEDICARE UPINGEORGIA
7000697738MEDICAIDGEORGIA
893BBGSHMEDICARE ID-TYPE UNSPECIFIEDGEORGIA
9000697738CMEDICAIDGEORGIA
1010735OTHERGEORGIAKAISER
1193BBGSHMEDICARE PINGEORGIA
12573274OTHERGEORGIABCBS OF GEORGIA

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: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.