Individual
DR. BRENT D BRANDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1350 S HICKORY ST, HOLMES REGIONAL MEDICAL CENTER/RADIOLOGY, MELBOURNE, FL 32901-3224
(321) 434-7313
(321) 434-7238
Mailing address
PO BOX 2400, MELBOURNE, FL 32902-2400
(321) 434-4600
(321) 259-0635
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
ME0068132
FL
2085R0202X
Diagnostic Radiology Physician
Primary
ME68132
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
264475400
—
FL
05
—
267615000
—
FL
01
—
34885
BS
—
01
—
CK3489
RRMC
—
Enumeration date
07/24/2006
Last updated
08/05/2013
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