| Ben Brannick LLC | |
|
491 W Poplar Ave Collierville TN 38017-2537 | |
| (901) 286-4162 | |
| (901) 286-4199 |
| Full Name | Ben Brannick LLC |
|---|---|
| Speciality | Internal Medicine |
| Location | 491 W Poplar Ave, Collierville, Tennessee |
| Authorized Official Name and Position | Benjamin Brannick (PHYSICIAN/OWNER) |
| Authorized Official Contact | 6789936601 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ben Brannick LLC 491 W Poplar Ave Collierville TN 38017-2537 Ph: (901) 286-4162 | Ben Brannick LLC 491 W Poplar Ave Collierville TN 38017-2537 Ph: (901) 286-4162 |
| NPI Number | 1396622387 |
|---|---|
| Provider Enumeration Date | 08/20/2025 |
| Last Update Date | 08/20/2025 |
| Certification Date | 08/20/2025 |
| Medicare PECOS PAC ID | 8628574159 |
|---|---|
| Medicare Enrollment ID | O20251002002941 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396622387 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | () | Primary |
| Provider Name | Benjamin Brian Brannick |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1679718357 PECOS PAC ID: 4688940372 Enrollment ID: I20251002002893 |
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