Individual
JOHN P. BRANNAN JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2451 FILLINGIM ST, MOBILE, AL 36617-2238
(251) 471-7150
(251) 471-7008
Mailing address
PO BOX 40480, MOBILE, AL 36640-0480
(251) 470-5842
(251) 470-5809
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
5625
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009984045
—
AL
05
—
009984055
—
AL
05
—
05400325
—
MS
05
—
1163112
—
LA
01
—
16-01238
UNITED HEALTHCARE
AL
05
—
372781500
—
FL
01
—
51526628
BCBS
AL
01
—
51526672
BCBS FILLINGIM
AL
01
—
51526744
BCBS SRC
AL
Enumeration date
05/12/2006
Last updated
02/26/2009
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