# DR. PAUL ANDERSON BRANNAN

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1235126186
- **Gender:** Man
- **Credential:** MD.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207W00000X | Ophthalmology Physician | 35076811 | OH | — |
| 207W00000X | Ophthalmology Physician | ME102185 | FL | Yes |
| 2086S0122X | Plastic and Reconstructive Surgery Physician | ME102185 | FL | — |

## Other

- **Enumeration date:** 10/05/2005
- **Last updated:** 02/07/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 000000278292 | BCBS FACET NUMBER | OH |
| 05 | — | 10000440 | — | IN |
| 05 | — | 2307104 | — | OH |
| 05 | — | 64038763 | — | KY |