Provider Demographics
NPI:1821065525
Name:BRANDIGI, CLAUS (MD)
Entity Type:Individual
Prefix:
First Name:CLAUS
Middle Name:
Last Name:BRANDIGI
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 1:3443 DICKERSON PIKE STE 520
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37207-2520
Mailing Address - Country:US
Mailing Address - Phone:615-860-5540
Mailing Address - Fax:615-860-5539
Practice Address - Street 1:3443 DICKERSON PIKE STE 520
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37207-2520
Practice Address - Country:US
Practice Address - Phone:615-860-5540
Practice Address - Fax:615-860-5539
Is Sole Proprietor?:No
Enumeration Date:2006-03-02
Last Update Date:2022-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101270359208600000X, 2086S0102X
GA043004208600000X, 2086S0102X
NC2018-021592086S0102X
SCMD277912086S0102X
CODR.00570292086S0102X
TN442072086S0102X, 208600000X
TXS80082086S0102X
NV202382086S0102X
MS200972086S0102X
FLME1109682086S0102X
IDM-153162086S0102X
LAMD.2044252086S0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
No2086S0102XAllopathic & Osteopathic PhysiciansSurgerySurgical Critical Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
GAH55654Medicare UPIN
SCG43004Medicaid
GA000944545BMedicaid
GA02BDHWCMedicare ID - Type Unspecified