Provider Demographics
NPI:1598804825
Name:BRAWNER, JAMES T (MD)
Entity Type:Individual
Prefix:
First Name:JAMES
Middle Name:T
Last Name:BRAWNER
Suffix:
Gender:M
Credentials:MD
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Other - First Name:
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Mailing Address - Street 1:186 S PAYNE STEWART DR
Mailing Address - Street 2:STE 201
Mailing Address - City:BRANSON
Mailing Address - State:MO
Mailing Address - Zip Code:65616-2732
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:186 S PAYNE STEWART DR STE 201
Practice Address - Street 2:
Practice Address - City:BRANSON
Practice Address - State:MO
Practice Address - Zip Code:65616-2732
Practice Address - Country:US
Practice Address - Phone:417-335-3636
Practice Address - Fax:417-335-3626
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-05
Last Update Date:2019-10-31
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
OK23984207Y00000X
MO2009001424207Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Y00000XAllopathic & Osteopathic PhysiciansOtolaryngology