Provider Demographics
NPI:1396516274
Name:BROTHERS, ANDREW (PA)
Entity type:Individual
Prefix:MR
First Name:ANDREW
Middle Name:
Last Name:BROTHERS
Suffix:
Gender:M
Credentials:PA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1209 SUNDOWN CT
Mailing Address - Street 2:
Mailing Address - City:ANTIOCH
Mailing Address - State:TN
Mailing Address - Zip Code:37013-4612
Mailing Address - Country:US
Mailing Address - Phone:931-409-7364
Mailing Address - Fax:
Practice Address - Street 1:1209 SUNDOWN CT
Practice Address - Street 2:
Practice Address - City:ANTIOCH
Practice Address - State:TN
Practice Address - Zip Code:37013-4612
Practice Address - Country:US
Practice Address - Phone:931-409-7364
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-01-10
Last Update Date:2025-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant