Brawner, John Clifton

Brawner, John Clifton is an sole proprietor health care provider with primary practice located at 1297 Gardner Way , Medford OR 97504-9300. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Vascular Surgery. Allopathic & Osteopathic Physicians / Surgery is his primary health care specialty. Brawner, John Clifton can be contacted via phone (541) 779-4348.

Contact Information

Primary practice address
1297 Gardner Way Medford OR 97504-9300
Fax: (541) 779-4348
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X MD13941 Oregon
Allopathic & Osteopathic Physicians / Vascular Surgery 2086S0129X MD13941 Oregon

Profile Details

NPI number 1811078132
LBN Legal business name Brawner, John Clifton
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 17th, 2006
Last updated Sep 8th, 2008 - about 16 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 1811078132 NPPES
Oregon MEDICAID 221911
Oregon Other 4898004

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