Provider Demographics
NPI:1427410240
Name:OKEEFE RAFAELI, BRANDON PAUL (MD)
Entity Type:Individual
Prefix:
First Name:BRANDON
Middle Name:PAUL
Last Name:OKEEFE RAFAELI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:BRANDON
Other - Middle Name:PAUL
Other - Last Name:OKEEFE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:11500 OBERLIN RD
Mailing Address - Street 2:
Mailing Address - City:OBERLIN
Mailing Address - State:OH
Mailing Address - Zip Code:44074-9346
Mailing Address - Country:US
Mailing Address - Phone:850-261-8348
Mailing Address - Fax:
Practice Address - Street 1:6411 FANNIN ST
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77030-1501
Practice Address - Country:US
Practice Address - Phone:850-261-8348
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-03-22
Last Update Date:2023-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXU1982207P00000X
282N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282N00000XHospitalsGeneral Acute Care Hospital
No207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine