Brandon, Joshua Ray

Brandon, Joshua Ray is an individual health care provider with primary practice located at 1400 S Germantown Rd , Germantown TN 38138-2205. He recently has only one registered license in Allopathic & Osteopathic Physicians / Sports Medicine, which is considered as his primary health care specialty. Brandon, Joshua Ray can be contacted via phone (901) 759-3100.

Contact Information

Primary practice address
1400 S Germantown Rd Germantown TN 38138-2205
Fax: (901) 759-3196
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Sports Medicine 207QS0010X 68299 Tennessee

Profile Details

NPI number 1356902951
LBN Legal business name Brandon, Joshua Ray
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 25th, 2019
Last updated Sep 28th, 2023 - 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 1356902951 NPPES
Tennessee MEDICAID Q085929

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