| Albert R Brandon Jr, DO | |
|
482 Interstate Dr, Ste A, Manchester, TN 37355-3109 | |
| (931) 728-4718 | |
| (931) 728-1016 |
| Full Name | Albert R Brandon Jr |
|---|---|
| Gender | Male |
| Speciality | Family Medicine |
| Location | 482 Interstate Dr, Manchester, Tennessee |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376570424 | NPI | - | NPPES |
| 4107876 | Other | BC | |
| 37-30155 | Medicaid | TN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 212 (Tennessee) | Primary |
| Entity Name | Coffee Medical Group Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1013969179 PECOS PAC ID: 1850208794 Enrollment ID: O20031118000203 |
| Entity Name | Coffee County Hospital Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1700192028 PECOS PAC ID: 1456317783 Enrollment ID: O20120322000701 |
| Mailing Address | Practice Location Address |
|---|---|
| Albert R Brandon Jr, DO 482 Interstate Dr, Ste A, Manchester, TN 37355-3109 Ph: (931) 728-4718 | Albert R Brandon Jr, DO 482 Interstate Dr, Ste A, Manchester, TN 37355-3109 Ph: (931) 728-4718 |
Misty D Slater, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 482 Interstate Dr, Manchester, TN 37355 Phone: 931-728-4718 Fax: 931-728-1016 | |
Mark Alan Schmitz, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 905 Mcarthur St, Manchester, TN 37355 Phone: 931-728-0155 Fax: 931-728-0109 | |
Dr. James Edward Roth, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1600 Mcarthur St, Manchester, TN 37355 Phone: 931-723-7950 | |
Dr. Shon Patrick Nolin, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1608 Mcarthur St, Manchester, TN 37355 Phone: 931-723-2036 | |
Heather Hamilton Carter, Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 482 Interstate Dr, Manchester, TN 37355 Phone: 931-728-4718 Fax: 931-728-1016 | |
Dr. Yogeshwar S Gill, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1611 Mcarthur St, Manchester, TN 37355 Phone: 931-728-9340 Fax: 931-728-9343 |