Individual
DR. JOHN E BRANDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
27340 HIGHWAY 86, GORDO, AL 35466
(205) 364-7135
(205) 364-8244
Mailing address
27340 HIGHWAY 86, GORDO, AL 35466
(205) 364-7135
(205) 364-8244
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
8876
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000015657
—
AL
01
—
51015657
BLUE CROSS BLUE SHIELD
AL
Enumeration date
02/22/2006
Last updated
12/18/2007
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