Individual
VIPULKUMAR R BRAHMBHATT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
310 N STATE OF FRANKLIN RD STE 400, JOHNSON CITY, TN 37604-6051
(423) 979-6000
(423) 979-6011
Mailing address
1021 W OAKLAND AVE STE 310, JOHNSON CITY, TN 37604-2192
(423) 302-6565
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
039886
TN
207RC0001X
Clinical Cardiac Electrophysiology Physician
Primary
51930
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0007697614
AETNA
—
05
—
100134513
—
WI
05
—
1679559165
—
VA
05
—
3333835
—
TN
01
—
4232015
BLUE CROSS BLUE SHIELD
TN
05
—
5912618
—
NC
05
—
64112550
—
KY
01
—
7696872
CIGNA
—
Enumeration date
12/16/2005
Last updated
10/10/2023
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