Individual
DR. JOHN JAMES BRANNAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6480 HARRISON AVE, SUITE 100, CINCINNATI, OH 45247-7961
(513) 354-3700
(513) 354-7651
Mailing address
6480 HARRISON AVE, SUITE 201, CINCINNATI, OH 45247-7961
(513) 354-3700
(513) 354-7651
Taxonomy
Speciality
Code
Description
License number
State
204R00000X
Electrodiagnostic Medicine Physician
35-06-8376
OH
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Primary
35-06-8376
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000065409
ANTHEM
OH
05
—
0155013
—
OH
01
—
0901264
UNITED HEALTH CARE
OH
05
—
200046130
—
IN
01
—
2164801
AETNA
OH
01
—
250010782
MEDICARE RAILROAD
OH
01
—
409603
WELLCARE
OH
01
—
68376
HUMANA
OH
Enumeration date
10/24/2005
Last updated
08/17/2023
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