Provider Demographics
NPI:1467661223
Name:BRANHAM, DANIEL G (MD)
Entity Type:Individual
Prefix:DR
First Name:DANIEL
Middle Name:G
Last Name:BRANHAM
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:PO BOX 306556
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37230-6556
Mailing Address - Country:US
Mailing Address - Phone:865-694-0062
Mailing Address - Fax:865-694-7907
Practice Address - Street 1:988 OAK RIDGE TPKE STE 100
Practice Address - Street 2:
Practice Address - City:OAK RIDGE
Practice Address - State:TN
Practice Address - Zip Code:37830-6919
Practice Address - Country:US
Practice Address - Phone:865-483-8478
Practice Address - Fax:865-483-4194
Is Sole Proprietor?:No
Enumeration Date:2007-05-21
Last Update Date:2023-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN50415207X00000X, 207XS0106X, 207XS0106X, 207XS0106X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207XS0106XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryHand Surgery
No207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN1517519Medicaid
FL281143000Medicaid
FL281143000Medicaid
TN0677340004Medicare NSC
TN103I202576Medicare PIN
TN0677340005Medicare NSC
TN0677340007Medicare NSC
TN0677340009Medicare NSC
TN0677340010Medicare NSC
TN0677340008Medicare NSC
TN1517519Medicaid
TN0677340003Medicare NSC
TN0677340002Medicare NSC
TN0677340001Medicare NSC