Provider Demographics
NPI:1265661698
Name:STINSON, BRANDY D (NP)
Entity Type:Individual
Prefix:
First Name:BRANDY
Middle Name:D
Last Name:STINSON
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
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Mailing Address - Street 1:PO BOX 776351
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60677-6351
Mailing Address - Country:US
Mailing Address - Phone:502-588-9490
Mailing Address - Fax:502-272-5116
Practice Address - Street 1:200 EAST CHESTNUT STREET, SERVICE BUILDING
Practice Address - Street 2:SUITE 303
Practice Address - City:LOUISVILLE
Practice Address - State:KY
Practice Address - Zip Code:40202-1831
Practice Address - Country:US
Practice Address - Phone:502-629-5552
Practice Address - Fax:502-629-3132
Is Sole Proprietor?:No
Enumeration Date:2009-07-07
Last Update Date:2021-12-22
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
KY1086032363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN200962900OtherHEALTHY INDIANA PLAN (THRU MD WISE)- CARDIOTHORACIC SURGERY OF LOUISVILLE
KY000000630697OtherANTHEM- CARDIOTHORACIC SURGERY OF LOUISVILLE
KY000051983VOtherHUMANA- CARDIOTHORACIC SURGERY OF LOUISVILLE
IN200962900OtherHEALTHY INDIANA PLAN (THRU ANTHEM)- CARDIOTHORACIC SURGERY OF LOUISVILLE
KY3737982000OtherPASSPORT ADVANTAGE- CARDIOTHORACIC SURGERY OF LOUISVILLE
IN200962900OtherANTHEM INDIANA MEDICAID- CARDIOTHORACIC SURGERY OF LOUISVILLE
KY50025831OtherPASSPORT- CARDIOTHORACIC SURGERY OF LOUISVILLE
KY7100086960Medicaid
KY200962900OtherMANAGED HEALTH SERVICES- CARDIOTHORACIC SURGERY OF LOUISVILLE
IN200962900Medicaid
KY7100086960Medicaid