Provider Demographics
NPI:1598862625
Name:ZIMMER, BRANDY LYNN (MD)
Entity Type:Individual
Prefix:DR
First Name:BRANDY
Middle Name:LYNN
Last Name:ZIMMER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:BRANDY
Other - Middle Name:LYNN
Other - Last Name:HELMINIAK
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:700 ACKERMAN RD
Mailing Address - Street 2:SUITE 540
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43202-1559
Mailing Address - Country:US
Mailing Address - Phone:614-255-7750
Mailing Address - Fax:614-262-4042
Practice Address - Street 1:410 W 10TH AVE
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43210-1240
Practice Address - Country:US
Practice Address - Phone:614-293-8305
Practice Address - Fax:614-293-3124
Is Sole Proprietor?:No
Enumeration Date:2006-09-20
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35079838207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2317095Medicaid
OH2317095Medicaid