David Bruce Brantley, MD
Individual provider Active NPI Emergency Medicine Physician · Claxton, GA
NPI 1104879931 · NPPES record last updated Jul 13, 2026
Key facts
- NPI
- 1104879931
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Emergency Medicine Physician 207P00000X
- License
- 028506 (GA)
- Practice address
- 200 N River St
Claxton, GA 30417-1659 - Phone
- (912) 882-4870
- NPI assigned
- May 19, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 4
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Emergency Medicine
- Education
- Louisiana State University School of Medicine in New Orleans, 1981
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Doctors to Go LLC
Practice addresses (Care Compare)
200 N River St
Claxton, GA 30417-1659
Phone (912) 739-5000
Hospital & facility affiliations
- Evans Memorial Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in GA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20041022000634 | GA | Practitioner - Emergency Medicine | 1557322534 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Doctors to Go, LLC | Emergency Medicine | Current |
Accepting new patients |
| Ben Hill Emergency Group LLC | Emergency Medicine | Current |
Accepting new patients |
| Dodge Emergency Group LLC | Emergency Medicine | Past | Accepting new patients |
| Liberty Emergency Group LLC | Emergency Medicine | Past | Accepting new patients |
Locations
200 N River St
Claxton, GA 30417
Phone (912) 739-2611
200 Perry House Rd
Fitzgerald, GA 31750
Phone (229) 424-1461
200 Corporate Blvd
Ste 201
Lafayette, LA 70508
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 028506 | GA | Yes |
Addresses
Primary practice location
200 N River St
Claxton, GA 30417-1659
Mailing address
200 Corporate Blvd
Suite 201
Lafayette, LA 70508-3870
Phone (800) 893-9698
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00327269L | Medicaid | GA |
Other providers in Claxton, GA
- Katharine Reeves Akins
- Derek Alan Barker
- Bethany Hospice and Palliative Care of Coastal Georgia, LLC
- Bio-Medical Applications of Georgia, Inc.
- Bailey W Bradley
- Gordon Bray
- Bulloch Home Medical Inc.
- Charles E.Kelly & Company
- Chatham Orthopaedic Associates, PA
- Claxton Chiropractic LLC
All providers in Claxton, GA · Emergency Medicine Physician in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 13, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.