Provider Demographics
NPI:1497869861
Name:BRANN, JAMES WILLIAM (MD)
Entity Type:Individual
Prefix:DR
First Name:JAMES
Middle Name:WILLIAM
Last Name:BRANN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1255 E COLLEGE ST
Mailing Address - Street 2:SUITE 100
Mailing Address - City:PULASKI
Mailing Address - State:TN
Mailing Address - Zip Code:38478-4515
Mailing Address - Country:US
Mailing Address - Phone:931-424-5400
Mailing Address - Fax:931-424-5410
Practice Address - Street 1:1255 E COLLEGE ST
Practice Address - Street 2:SUITE 100
Practice Address - City:PULASKI
Practice Address - State:TN
Practice Address - Zip Code:38478-4515
Practice Address - Country:US
Practice Address - Phone:931-424-5400
Practice Address - Fax:931-424-5410
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TN31695207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN3843712Medicaid
TN3843712Medicaid
TNA29409Medicare UPIN