Provider Demographics
NPI:1093700866
Name:BRAMLETT, DANNY JOE (MD)
Entity Type:Individual
Prefix:DR
First Name:DANNY
Middle Name:JOE
Last Name:BRAMLETT
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:500 W MAIN ST
Mailing Address - Street 2:
Mailing Address - City:THOMASTON
Mailing Address - State:GA
Mailing Address - Zip Code:30286-6209
Mailing Address - Country:US
Mailing Address - Phone:706-647-8901
Mailing Address - Fax:
Practice Address - Street 1:500 W MAIN ST
Practice Address - Street 2:
Practice Address - City:THOMASTON
Practice Address - State:GA
Practice Address - Zip Code:30286-6209
Practice Address - Country:US
Practice Address - Phone:706-647-8901
Practice Address - Fax:706-647-5803
Is Sole Proprietor?:No
Enumeration Date:2005-09-16
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA18572207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA080124925OtherRAILROAD MEDICARE
GA619398OtherBLUECROSS BLUE SHIELD
GA00312463AMedicaid
GA00312463AMedicaid
GA00312463AMedicaid