MEDICARE: DR. JEAN O'NAN BRAMER M.D.

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	207V00000X	Obstetrics & Gynecology Physician	7451	AK
2	207V00000X	Obstetrics & Gynecology Physician	32399	KY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICARE	OTHER	KY	K290320
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1598706020
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JEAN O'NAN BRAMER M.D.

Provider Business Mailing Address
First Line	:	601 S FLOYD ST STE 500
Second Line	:
City	:	LOUISVILLE
State	:	KY
Zip	:	40202-1837
Country	:	US
Telephone Number	:	502-629-1515
Fax Number	:

Provider Business Practice Location Address
First Line	:	601 S FLOYD ST STE 500
Second Line	:
City	:	LOUISVILLE
State	:	KY
Zip	:	40202-1837
Country	:	US
Telephone Number	:	502-629-1515
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/08/2006
Last Update Date	:	03/19/2025

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Directions to “ DR. JEAN O'NAN BRAMER M.D.” Practice Location

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