Provider Demographics
NPI:1649273798
Name:BRACHMAN, PHILIP SIGMUND JR (MD)
Entity type:Individual
Prefix:DR
First Name:PHILIP
Middle Name:SIGMUND
Last Name:BRACHMAN
Suffix:JR
Gender:M
Credentials:MD
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Mailing Address - Street 1:3495 PIEDMONT ROAD, NE
Mailing Address - Street 2:NINE PIEDMONT CENTER
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30305
Mailing Address - Country:US
Mailing Address - Phone:404-364-7070
Mailing Address - Fax:404-355-1353
Practice Address - Street 1:1745 PEACHTREE ROAD, SUITE U
Practice Address - Street 2:KAISER PERMANENTE BROOKWOOD MEDICAL CENTER
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30309
Practice Address - Country:US
Practice Address - Phone:404-888-7688
Practice Address - Fax:404-355-1353
Is Sole Proprietor?:No
Enumeration Date:2005-05-23
Last Update Date:2013-09-19
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Provider Licenses
StateLicense IDTaxonomies
GA30962207RI0200X
GA030962207RI0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA0090823OtherUNITED HEALTHACRE
GA581574591OtherPHCS
GA581574591OtherCOVENTRY
GA00466738BMedicaid
GA581574591OtherHUMANA/TRICARE
GA027336OtherBLUE CROSS BLUE SHIELD
GA0480673OtherAETNA
GA110064824OtherTRAVELERS MEDICARE
GA581574591OtherCIGNA
GA00466738BMedicaid
GA0090823OtherUNITED HEALTHACRE