Basic Information
| Provider Information | |||||||||
| NPI: | 1952932766 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | BRANDMAN | ||||||||
| FirstName: | DAVID | ||||||||
| MiddleName: | |||||||||
| NamePrefix: | DR. | ||||||||
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| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 4860 Y STREET | ||||||||
| Address2: | STE 3740 | ||||||||
| City: | SACRAMENTO | ||||||||
| State: | CA | ||||||||
| PostalCode: | 95817 | ||||||||
| CountryCode: | US | ||||||||
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| Practice Location | |||||||||
| Address1: | 3160 FOLSOM BLVD STE 3900 | ||||||||
| Address2: | |||||||||
| City: | SACRAMENTO | ||||||||
| State: | CA | ||||||||
| PostalCode: | 958165271 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9167344300 | ||||||||
| FaxNumber: | |||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 01/30/2020 | ||||||||
| LastUpdateDate: | 10/20/2021 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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| NPICertificationDate: | 10/20/2021 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207T00000X | 85025 | GA | N | Allopathic & Osteopathic Physicians | Neurological Surgery | 207T00000X | 15248 | ZZ | N | Allopathic & Osteopathic Physicians | Neurological Surgery | 207T00000X | 14890535 | CA | Y | Allopathic & Osteopathic Physicians | Neurological Surgery |
No ID Information.