Bruce, Brandon Thomas

Bruce, Brandon Thomas is an individual health care provider with primary practice located at 200 S Enota Dr Ne Suite 150, Gainesville GA 30501-3473. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Trauma, which is considered as his primary health care specialty. Bruce, Brandon Thomas can be contacted via phone (770) 219-3202.

Contact Information

Primary practice address
200 S Enota Dr Ne Suite 150 Gainesville GA 30501-3473
Phone: (770) 219-3202
Fax: (770) 219-3209
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Trauma 207XX0801X 071050 Georgia

Profile Details

NPI number 1811165467
LBN Legal business name Bruce, Brandon Thomas
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 18th, 2008
Last updated Dec 9th, 2020 - about 5 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 1811165467 NPPES
Kentucky MEDICAID 7100077900

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