MEDICARE: J. BRANDON MORGAN, MD,PLLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208600000X	Surgery Physician

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	5F634	OTHER	AR	BLUE CROSS
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1134139405
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	J. BRANDON MORGAN, MD,PLLC

Provider Business Mailing Address
First Line	:	403 W OAK ST STE 204
Second Line	:
City	:	EL DORADO
State	:	AR
Zip	:	71730-4574
Country	:	US
Telephone Number	:	870-881-9311
Fax Number	:	870-881-8588

Provider Business Practice Location Address
First Line	:	403 W OAK ST STE 204
Second Line	:
City	:	EL DORADO
State	:	AR
Zip	:	71730-4574
Country	:	US
Telephone Number	:	870-881-9311
Fax Number	:	870-881-8588

Authorized Official
Title or Position	:	DIRECTOR
Name	:	J. BRANDON MORGAN
Credential	:	MD
Telephone Number	:	870-881-8311

Provider Enumeration Date	:	08/09/2006
Last Update Date	:	02/21/2023

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