Individual
DR. DAVID WILLIAM BRANDLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
295 A MIDLAND PARKWAY, STE 100, SUMMERVILLE, SC 29485-9171
(843) 871-5220
(843) 871-5547
Mailing address
2687 LAKE PARK DR, NORTH CHARLESTON, SC 29406
(843) 572-1010
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
23790
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GP4871
—
SC
01
—
P00036601
RR MEDICARE
SC
Enumeration date
10/14/2005
Last updated
02/20/2017
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