Brantley, Roman R
Brantley, Roman R is an individual health care provider with primary practice located at 35 W Lakeshore Dr Ste 200 , Birmingham AL 35209-7250. He recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as his primary health care specialty. Brantley, Roman R can be contacted via phone (205) 226-5900.Contact Information
Primary practice address
35 W Lakeshore Dr Ste 200
Birmingham AL 35209-7250
Phone: (205) 226-5900
Fax: (205) 226-5937
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Nephrology | 207RN0300X | 16517 | Alabama |
Profile Details
| NPI number | 1356399950 |
|---|---|
| LBN Legal business name | Brantley, Roman R |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 5th, 2006 |
| Last updated | Oct 31st, 2018 - about 6 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1356399950 | NPPES |
| Alabama | MEDICAID | 000034364 |
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