MEDICARE: DR. EDWARD J BRAND 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
1	207RG0100X	Gastroenterology Physician	35043308	OH

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

General Provider Information

NPI Number	:	1780678011
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. EDWARD J BRAND MD

Provider Business Mailing Address
First Line	:	OHIO GASTROENTOLOGY GROUP INC
Second Line	:	3820 OLENTANGY RIVER ROAD
City	:	COLUMBUS
State	:	OH
Zip	:	43214-5403
Country	:	US
Telephone Number	:	614-457-1213
Fax Number	:	614-457-9519

Provider Business Practice Location Address
First Line	:	777 W STATE ST
Second Line	:	SUITE 400
City	:	COLUMBUS
State	:	OH
Zip	:	43222-1536
Country	:	US
Telephone Number	:	614-221-8355
Fax Number	:	614-221-4108

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

Provider Enumeration Date	:	09/01/2005
Last Update Date	:	10/26/2007

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Directions to “ DR. EDWARD J BRAND MD” Practice Location

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