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NPI Code Detail

MEDICARE: DR. J HAYS BRANTLEY MD

MEDICARE: DR. J HAYS BRANTLEY MD
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
1207R00000XInternal Medicine Physician13648TN

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2110233296OTHERTNRAILROAD MEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
14030767OTHERTNBCBS
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
44030767OTHERTNTENNCARE SELECT
592825OTHERARBCBS

General Provider Information

NPI Number : 1437150315
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. J HAYS BRANTLEY MD
Provider Business Mailing Address
First Line : PO BOX 1000 DEPT 362
Second Line :
City : MEMPHIS
State : TN
Zip : 38148-0362
Country : US
Telephone Number : 901-373-9704
Fax Number : 901-255-5223
Provider Business Practice Location Address
First Line : 5182 SANDERLIN AVE
Second Line : SUITE 3
City : MEMPHIS
State : TN
Zip : 38117-4354
Country : US
Telephone Number : 901-685-0152
Fax Number : 901-685-9982
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/02/2005
Last Update Date : 11/30/2011

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Directions to “ DR. J HAYS BRANTLEY MD” Practice Location

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