Provider Demographics
NPI:1851312730
Name:BRANDEMIHL, ADAM S (MD)
Entity Type:Individual
Prefix:DR
First Name:ADAM
Middle Name:S
Last Name:BRANDEMIHL
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:5060 PARKCENTER AVE
Mailing Address - Street 2:SUITE F
Mailing Address - City:DUBLIN
Mailing Address - State:OH
Mailing Address - Zip Code:43017-7507
Mailing Address - Country:US
Mailing Address - Phone:614-766-5205
Mailing Address - Fax:614-766-5447
Practice Address - Street 1:5060 PARKCENTER AVE
Practice Address - Street 2:SUITE F
Practice Address - City:DUBLIN
Practice Address - State:OH
Practice Address - Zip Code:43017-7507
Practice Address - Country:US
Practice Address - Phone:614-766-5205
Practice Address - Fax:614-766-5447
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-23
Last Update Date:2010-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35.0851402084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry