Provider Demographics
NPI:1780678011
Name:BRAND, EDWARD J (MD)
Entity Type:Individual
Prefix:DR
First Name:EDWARD
Middle Name:J
Last Name:BRAND
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Gender:M
Credentials:MD
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Mailing Address - Street 1:OHIO GASTROENTOLOGY GROUP INC
Mailing Address - Street 2:3820 OLENTANGY RIVER ROAD
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43214-5403
Mailing Address - Country:US
Mailing Address - Phone:614-457-1213
Mailing Address - Fax:614-457-9519
Practice Address - Street 1:777 W STATE ST
Practice Address - Street 2:SUITE 400
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43222-1536
Practice Address - Country:US
Practice Address - Phone:614-221-8355
Practice Address - Fax:614-221-4108
Is Sole Proprietor?:No
Enumeration Date:2005-09-01
Last Update Date:2007-10-26
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Provider Licenses
StateLicense IDTaxonomies
OH35043308207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0403398Medicaid
OH0403398Medicaid
0464793Medicare PIN