Basic Information
Provider Information
NPI: 1528105616
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: BRANDES
FirstName: JOHANN
MiddleName: CHRISTOPH
NamePrefix: DR.
NameSuffix:  
Credential: MD, PHD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: PO BOX 440100
Address2:  
City: NASHVILLE
State: TN
PostalCode: 372440100
CountryCode: US
TelephoneNumber: 6153290570
FaxNumber:  
Practice Location
Address1: 1840 MEDICAL CENTER PKWY
Address2: SUITE 300
City: MURFREESBORO
State: TN
PostalCode: 371293199
CountryCode: US
TelephoneNumber: 6158480488
FaxNumber: 6159049061
Other Information
ProviderEnumerationDate: 01/30/2007
LastUpdateDate: 09/17/2014
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207RC0200XD60211MDN Allopathic & Osteopathic PhysiciansInternal MedicineCritical Care Medicine
207RP1001XD60211MDN Allopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
207RX0202XD60211MDY Allopathic & Osteopathic PhysiciansInternal MedicineMedical Oncology

No ID Information.


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