Provider Demographics
NPI:1568492049
Name:DOWNS, BRANDON HOWARD (MD)
Entity Type:Individual
Prefix:DR
First Name:BRANDON
Middle Name:HOWARD
Last Name:DOWNS
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 1:415 HENSLEE DR
Mailing Address - Street 2:
Mailing Address - City:DICKSON
Mailing Address - State:TN
Mailing Address - Zip Code:37055-2166
Mailing Address - Country:US
Mailing Address - Phone:615-375-8287
Mailing Address - Fax:615-375-8315
Practice Address - Street 1:415 HENSLEE DR
Practice Address - Street 2:
Practice Address - City:DICKSON
Practice Address - State:TN
Practice Address - Zip Code:37055-2166
Practice Address - Country:US
Practice Address - Phone:615-375-8287
Practice Address - Fax:615-375-8315
Is Sole Proprietor?:No
Enumeration Date:2006-07-03
Last Update Date:2018-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN35960207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN1511199Medicaid
35960OtherSTATE LICENSE
TN3874715Medicaid
TN4132460OtherBCBS
TN4207972OtherBCBS
TN4207972OtherBCBS
TN4132460OtherBCBS
TN1511199Medicaid
TN38747151Medicare PIN