Provider Demographics
NPI:1841459724
Name:STYRON, BRANDIE T (MD)
Entity type:Individual
Prefix:DR
First Name:BRANDIE
Middle Name:T
Last Name:STYRON
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:2205 CROCKER RD STE 109
Mailing Address - Street 2:
Mailing Address - City:WESTLAKE
Mailing Address - State:OH
Mailing Address - Zip Code:44145-6710
Mailing Address - Country:US
Mailing Address - Phone:440-249-0274
Mailing Address - Fax:440-808-1718
Practice Address - Street 1:18660 BAGLEY RD
Practice Address - Street 2:BUILDING 1, SUITE 501
Practice Address - City:MIDDLEBURG HEIGHTS
Practice Address - State:OH
Practice Address - Zip Code:44130-3483
Practice Address - Country:US
Practice Address - Phone:440-482-8424
Practice Address - Fax:440-808-1718
Is Sole Proprietor?:No
Enumeration Date:2008-06-05
Last Update Date:2025-02-06
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
OH096851207N00000X, 207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology