Provider Demographics
NPI:1750382420
Name:DELHAMER, BRANDT ARRAN (MD)
Entity type:Individual
Prefix:
First Name:BRANDT
Middle Name:ARRAN
Last Name:DELHAMER
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 1:3803 FM 1092 RD
Mailing Address - Street 2:
Mailing Address - City:MISSOURI CITY
Mailing Address - State:TX
Mailing Address - Zip Code:77459-2209
Mailing Address - Country:US
Mailing Address - Phone:281-403-8271
Mailing Address - Fax:281-403-8274
Practice Address - Street 1:1211 HIGHWAY 6
Practice Address - Street 2:SUITE 1
Practice Address - City:SUGAR LAND
Practice Address - State:TX
Practice Address - Zip Code:77478-4941
Practice Address - Country:US
Practice Address - Phone:281-494-4832
Practice Address - Fax:281-494-7399
Is Sole Proprietor?:Yes
Enumeration Date:2005-08-03
Last Update Date:2008-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXM1070207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL275196800Medicaid
FLP00400196OtherRAILROAD MEDICARE
TX172813101Medicaid
FL42179OtherBLUE CROSS BLUE SHIELD
FLP00400196OtherRAILROAD MEDICARE
FLAA806ZMedicare PIN
FLAA806YMedicare PIN
FL275196800Medicaid