SHARON K. BRANDON LLC NPI 1912121807

NPI Information

  • NPI: 1912121807
  • Provider Name: SHARON K. BRANDON, LLC
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Organization
  • Address: 722 MAPLE RIDGE TRL
    POPLAR BLUFF, MO
    ZIP 63901
  • Phone: (573) 429-0133

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NPI Details

SHARON K. BRANDON, LLC is a family medicine in Poplar Bluff, MO. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. SHARON K. BRANDON, LLC NPI is 1912121807. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

722 MAPLE RIDGE TRL
POPLAR BLUFF, MO
ZIP 63901-216
Phone: (573) 429-0133
Fax: (573) 686-7525

The provider's authorized official is Sharon K. Brandon .
The authorized official title is Member and has the following contact phone number (573) 429-0133.

The enumeration date for this NPI number is 4/12/2007 and was last updated on 8/22/2020.

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
1207Q00000XFamily MedicineR9547MISSOURIYes

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: 3/30/2025

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