Harden, Brandon W
Harden, Brandon W is an individual health care provider with primary practice located at 1000 Hawthorne Ave Ste S , Athens GA 30606-2168. He recently has 4 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / Pediatrics, Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Pediatric Cardiology. Allopathic & Osteopathic Physicians / Pediatric Cardiology is his primary health care specialty. Harden, Brandon W can be contacted via phone (404) 256-2593.Contact Information
Primary practice address
1000 Hawthorne Ave Ste S
Athens GA 30606-2168
Phone: (404) 256-2593
Fax: (770) 488-9408
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | MD.28540 | Alabama |
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | MD.28540 | Alabama |
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | ||
| Allopathic & Osteopathic Physicians / Pediatric Cardiology | 2080P0202X | 063459 | Georgia |
Profile Details
| NPI number | 1154539385 |
|---|---|
| LBN Legal business name | Harden, Brandon W |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 20th, 2007 |
| Last updated | Jan 22nd, 2021 - about 3 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 | 1154539385 | NPPES |
| Alabama | MEDICAID | 111173 | |
| Alabama | MEDICAID | 111256 | |
| Alabama | Other | 1154539385 | |
| Alabama | Other | 515-98963 | |
| Alabama | Other | 515-98918 | |
| Alabama | MEDICAID | 003130101A |
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