Individual
DR. BRANDON MARK PETERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
5 MOBILE INFIRMARY CIR, MOBILE, AL 36607-3513
(251) 544-1926
(251) 460-2846
Mailing address
PO BOX 9369, MOBILE, AL 36691-0369
(251) 544-1926
(251) 460-2846
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
052806
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009910878
—
AL
05
—
009910879
—
AL
05
—
009910881
—
AL
05
—
009910882
—
AL
05
—
009914027
—
AL
05
—
051540438
—
AL
01
—
51540438
BC/BS OF AL
AL
01
—
51540439
BC/BS OF AL
AL
01
—
51540440
BC/BS OF AL
AL
01
—
51540441
BC/BS OF AL
AL
01
—
51540442
BC/BS OF AL
AL
Enumeration date
10/05/2006
Last updated
09/07/2010
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