Individual
JAMES BRANTLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1125 W JEFFERSON ST, FRANKLIN, IN 46131-2140
(317) 472-1148
Mailing address
2449 RELIABLE PKWY, CHICAGO, IL 60686-0001
(317) 472-1148
(317) 870-0499
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
01021769
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100047750
—
IN
Enumeration date
08/17/2006
Last updated
11/23/2009
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