NPI Code Details Logo

NPI 1851738926

NPI 1851738926 : BRANDON LOUIS LEE MAY D.O. : WAUKEE, IA

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1851738926
-----------------------------------------------------
    Entity Type          |    Individual 
-----------------------------------------------------
    Provider Name        |    BRANDON LOUIS LEE MAY D.O.
-----------------------------------------------------
    Gender               |    Male 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    05/30/2013
-----------------------------------------------------
    Last Update Date     |    07/26/2016
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    30 E HICKMAN RD 
-----------------------------------------------------
    City                 |    WAUKEE
-----------------------------------------------------
    State                |    IA
-----------------------------------------------------
    Zip                  |    50263-5011
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    515-987-3447
-----------------------------------------------------
    Fax                  |    515-987-6957
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    30 E HICKMAN RD 
-----------------------------------------------------
    City                 |    WAUKEE
-----------------------------------------------------
    State                |    IA
-----------------------------------------------------
    Zip                  |    50263-5011
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    515-987-3447
-----------------------------------------------------
    Fax                  |    515-987-6957
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    
-----------------------------------------------------
    Name                 |        
-----------------------------------------------------
    Credential           |    
-----------------------------------------------------
    Telephone            |    
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    207Q00000X
-----------------------------------------------------
    Taxonomy Name        |    Family Medicine Physician
-----------------------------------------------------
    License Number       |    04581
-----------------------------------------------------
    License Number State |    IA
-----------------------------------------------------



                        

Copyright © 2007-2026 Data Labs Health. All rights reserved.