Williamson, Brandon

Williamson, Brandon is an individual health care provider with primary practice located at 2900 E 29Th St Ste 200 , Bryan TX 77802-2623. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Williamson, Brandon can be contacted via phone (979) 776-8440.

Contact Information

Primary practice address
2900 E 29Th St Ste 200 Bryan TX 77802-2623
Phone: (979) 776-8440
Fax: (877) 601-5854
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X Q1772 Texas
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X Q1772 Texas

Profile Details

NPI number 1457797375
LBN Legal business name Williamson, Brandon
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 19th, 2013
Last updated Jul 15th, 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 1457797375 NPPES
Texas MEDICAID 347378703

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