MEDICARE: BRANDON MICHAEL DE PAUL DO

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	207R00000X	Internal Medicine Physician	V7863	TX
2	207RC0200X	Critical Care Medicine (Internal Medicine) Physician	V7863	TX

General Provider Information

NPI Number	:	1598392920
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BRANDON MICHAEL DE PAUL DO

Provider Business Mailing Address
First Line	:	8701 W WATERTOWN PLANK RD FL 8
Second Line	:
City	:	MILWAUKEE
State	:	WI
Zip	:	53226-3548
Country	:	US
Telephone Number	:	414-955-0532
Fax Number	:	414-955-0093

Provider Business Practice Location Address
First Line	:	6250 US HIGHWAY 83
Second Line	:
City	:	ABILENE
State	:	TX
Zip	:	79606-5215
Country	:	US
Telephone Number	:	325-428-1050
Fax Number	:

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

Provider Enumeration Date	:	03/25/2020
Last Update Date	:	12/09/2025

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