Brandenburg, Jeffery Hall

Brandenburg, Jeffery Hall is an sole proprietor health care provider with primary practice located at 11 Richland Medical Park Dr , Columbia SC 29203-6863. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Hospitalist, Allopathic & Osteopathic Physicians / Psychiatry. Allopathic & Osteopathic Physicians / Psychiatry is his primary health care specialty. Brandenburg, Jeffery Hall can be contacted via phone (803) 434-4300.

Contact Information

Primary practice address
11 Richland Medical Park Dr Columbia SC 29203-6863
Phone: (803) 434-4300
Fax: (803) 434-4351
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X 16751 South Carolina
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 16751 South Carolina

Profile Details

NPI number 1659345379
LBN Legal business name Brandenburg, Jeffery Hall
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 17th, 2006
Last updated Dec 21st, 2022 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1659345379 NPPES
South Carolina MEDICAID 167517
South Carolina MEDICAID 400186

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