Individual
BRANDON SCOTT RANDLEMAN
Active
Individual
BRANDON SCOTT RANDLEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
257180
MA
207R00000X
Internal Medicine Physician
OS014196
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1007278000
MEDICAID TPI GROUP
PA
01
—
597586
MEDICARE TPI GROUP
PA
01
—
CD4829
RAILROAD MEDICARE TPI GROUP
PA
Enumeration date
02/16/2008
Last updated
05/02/2014
Update your record
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