Individual
JESSICA S BRANSCOME
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
101 SIVLEY RD SW, EM DEPT, HUNTSVILLE, AL 35801-4421
(205) 264-9098
(205) 437-5998
Mailing address
PO BOX 11407, DRAWER 0314, BIRMINGHAM, AL 35246-0314
(405) 751-4664
(405) 749-4561
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
00027412
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009940619
—
AL
01
—
051004160
BCBS PROVIDER NUMBER
AL
05
—
051558205
—
AL
01
—
7605880
AETNA
AL
Enumeration date
10/03/2006
Last updated
02/10/2010
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