Damon Brantley MD PC

Primary specialty

SpecialistTaxonomy code 174400000X

License

22207 Issued in AL

Legal business name

DAMON BRANTLEY MD PC

Practice address

4810 Whitesport Cir SW
Suite 200
Huntsville, AL 35801-7419

Phone

(931) 358-4833

Fax

(931) 358-3460

NPI assigned

Oct 30, 2008

Organization subpart

No

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

Authorized official

Name

Damon W Brantley, MDNPI 1902868011

Title

Owner

Phone

(931) 358-4833

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Damon W. Brantley, M.D.

  • Surgery Physician
  • St. Marys, GA
  • NPI 1902868011
  NPD (past) Authorized official

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

{
    "created_epoch": "1225324800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1225324800000",
    "number": "1164675427",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "237 GRAY HAWK TRL",
            "city": "CLARKSVILLE",
            "state": "TN",
            "postal_code": "370436286",
            "telephone_number": "931-358-4833",
            "fax_number": "931-358-3460"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4810 WHITESPORT CIR SW",
            "address_2": "SUITE 200",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358017419",
            "telephone_number": "931-358-4833",
            "fax_number": "931-358-3460"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAMON BRANTLEY MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-30",
        "last_updated": "2008-10-30",
        "status": "A",
        "authorized_official_last_name": "BRANTLEY",
        "authorized_official_first_name": "DAMON",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "931-358-4833",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "AL",
            "license": "22207",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alyssa A Daleiden, OTR/ L
• Justina Sue Daley
• Elsen Cheruto Dalizu
• Erika Dalton
• Melinda Marsha Damas
• Dan M. Luther, D.M.D., P.C.
• Dan M. Luther, DMD, PC
• Chloe Renee Danehower
• Manh C Dang, M.D.
• Sabina Dang, MD

• Specialist in Huntsville, AL
• Providers in Huntsville, AL by specialty
• Specialist in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2008; 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.