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Individual

WILLIAM JEFFREY BRANNICK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
2006 FRANKLIN ST SE, SUITE 200, HUNTSVILLE, AL 35801-4551
(256) 539-0457
(256) 539-5827
Mailing address
2006 FRANKLIN ST SE STE 200, HUNTSVILLE, AL 35801-4537
(256) 539-0457
(256) 539-5827

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
036177053
IL
2085R0202X
Diagnostic Radiology Physician
Primary
34928
AL
2085R0202X
Diagnostic Radiology Physician
MD34142
TN
2085R0202X
Diagnostic Radiology Physician
ME124304
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000269739
ANTHEM BCBS
KY
05
015118000
FL
05
183164
AL
05
183226
AL
05
183230
AL
05
183315
AL
05
183318
AL
05
183331
AL
05
184445
AL
05
213891
AL
05
239945
AL
05
265947
AL
05
266064
AL
05
266065
AL
05
266527
AL
01
300131093
RAILROAD MEDICARE
05
3870864
TN
01
4042333
BCBS
01
I50MM
BCBS
FL
01
IG582X
MEDICARE PTAN
FL
01
IG582Y
MEDICARE PTAN
FL
01
IG582Z
MEDICARE PTAN
FL
Enumeration date
01/10/2006
Last updated
12/02/2025
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