Brandon Clint, MD

Primary specialty

Aerospace Medicine PhysicianTaxonomy code 2083A0100X

License

J1934 Issued in TX

Practice address

377 TH Medical Group
2050A Second Street SE
Kirtland AFB, NM 87117-5522

Phone

(505) 846-2193

NPI assigned

Sep 12, 2005

Last updated

Sep 26, 2013By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1126483200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1380153600000",
    "number": "1144214677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "377 TH MEDICAL GROUP",
            "address_2": "2050A SECOND STREET SE",
            "city": "KIRTLAND AFB",
            "state": "NM",
            "postal_code": "871175522",
            "telephone_number": "505-846-2193"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "377 TH MEDICAL GROUP",
            "address_2": "2050A SECOND STREET SE",
            "city": "KIRTLAND AFB",
            "state": "NM",
            "postal_code": "871175522",
            "telephone_number": "505-846-2193"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLINT",
        "first_name": "BRANDON",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-12",
        "last_updated": "2013-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "J1934",
            "primary": false
        },
        {
            "code": "2083A0100X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Aerospace Medicine",
            "state": "TX",
            "license": "J1934",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael Carvajal, PSY.D.
• Brant Evin Casteel, PA-C
• Rodney Vernon Chandler, PHARM.D.
• Thomas F Clarke, MD, MPH
• Carolynn Ann Claussen, RDN, CSSD, LDN
• James W Cockerill, M.D.
• Sylvia Aracely Coon
• Marco Corda, ATC
• Michael Raymond Craddock, DDS
• Rachel Jane Darnell-Miller, LCSW

• Aerospace Medicine Physician in Kirtland AFB, NM
• Providers in Kirtland AFB, NM by specialty
• Aerospace Medicine Physician in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2013; 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.