MEDICARE: MR. BRANDON AULD

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	246XS1301X	Sonography Specialist/Technologist Cardiovascular
2	2471S1302X	Sonography Radiologic Technologist
3	2471V0105X	Vascular Sonography Radiologic Technologist

General Provider Information

NPI Number	:	1457464943
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. BRANDON AULD

Provider Business Mailing Address
First Line	:	1500 SWANWICK RD
Second Line	:
City	:	OAKDALE
State	:	IL
Zip	:	62268-3004
Country	:	US
Telephone Number	:	618-218-0776
Fax Number	:

Provider Business Practice Location Address
First Line	:	1500 SWANWICK RD
Second Line	:
City	:	OAKDALE
State	:	IL
Zip	:	62268-3004
Country	:	US
Telephone Number	:	618-218-0776
Fax Number	:

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

Provider Enumeration Date	:	08/17/2006
Last Update Date	:	09/11/2025

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Directions to “ MR. BRANDON AULD ” Practice Location

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