Brandon, Gilbert Theodore

Brandon, Gilbert Theodore is an individual health care provider with primary practice located at 1740 Memorial Dr , Clarksville TN 37043-4561. He recently has only one registered license in Allopathic & Osteopathic Physicians / Otolaryngology, which is considered as his primary health care specialty. Brandon, Gilbert Theodore can be contacted via phone (931) 245-8700.

Contact Information

Primary practice address
1740 Memorial Dr Clarksville TN 37043-4561
Phone: (931) 245-8700
Fax: (931) 245-8747
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Otolaryngology 207Y00000X 14164 Tennessee

Profile Details

NPI number 1811987050
LBN Legal business name Brandon, Gilbert Theodore
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 27th, 2005
Last updated May 3rd, 2013 - about 12 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1811987050 NPPES
Tennessee MEDICAID 3032426
Tennessee Other 040008556

Popular Providers