Individual
DR. JOE P BRAMHALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3121 UNIVERSITY DR E STE 100, BRYAN, TX 77802-3499
(979) 776-0169
(979) 776-1372
Mailing address
5026 AUGUSTA CIR, COLLEGE STATION, TX 77845-8983
(979) 690-7800
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
H0207
TX
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
H0207
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
122612803
—
TX
01
—
88345X
BLUECROSS
TX
Enumeration date
10/17/2005
Last updated
07/27/2020
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