Brantley T. Jolly, M.D. Prof Corp

Primary specialty

Registered DietitianTaxonomy code 133V00000X

Legal business name

BRANTLEY T. JOLLY, M.D. PROF CORP

Practice address

425 California St Ste 14
San Francisco, CA 94104-2102

Phone

(804) 337-0425

NPI assigned

May 22, 2024

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Brantley Jolly, MD

Title

Owner

Phone

(804) 337-0425

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1716336000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1716336000000",
    "number": "1033958756",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "425 CALIFORNIA ST STE 14",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941042102",
            "telephone_number": "804-337-0425"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "425 CALIFORNIA ST STE 14",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941042102",
            "telephone_number": "804-337-0425"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRANTLEY T. JOLLY, M.D. PROF CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-22",
        "last_updated": "2024-05-22",
        "certification_date": "2024-05-22",
        "status": "A",
        "authorized_official_last_name": "JOLLY",
        "authorized_official_first_name": "BRANTLEY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "804-337-0425",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Luna Marie Branson
• Taneshia Branson
• Timothy Branson
• Rebecca Ann Branstetter, PH.D.
• Amy Elizabeth Brant, RN
• Brantner Sports Chiropractic, Apc
• Zachary J Brantner, D.C.
• Amarpali Brar, M.D
• Randeep Kaur Brar, M.D.
• Natasha Brasic, M.D.

• Registered Dietitian in San Francisco, CA
• Providers in San Francisco, CA by specialty
• Registered Dietitian in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.