Individual provider Active NPI

Sonja Nicole Branam, DVM

  • Legal Medicine
  • Chattanooga, TN
National Provider Identifier
1164960381
Registry record updated Feb 8, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Legal MedicineTaxonomy code 173000000X
Practice address
6393 Lee Hwy
Chattanooga, TN 37421-2569
Phone
(423) 822-8304
Fax
(423) 709-8227
NPI assigned
Feb 8, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 8, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Legal Medicine 173000000X Primary

Addresses

Primary practice location

6393 Lee Hwy
Chattanooga, TN 37421-2569

Mailing address

6393 Lee Hwy
Chattanooga, TN 37421-2569
Phone (423) 822-8304

Other identifiers 1

IdentifierTypeStateIssuer
5979OtherTNLICENSE NUMBER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1486512000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1486512000000",
    "number": "1164960381",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6393 LEE HWY",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374212569",
            "telephone_number": "423-822-8304",
            "fax_number": "423-709-8227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6393 LEE HWY",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374212569",
            "telephone_number": "423-822-8304",
            "fax_number": "423-709-8227"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRANAM",
        "first_name": "SONJA",
        "middle_name": "NICOLE",
        "name_prefix": "Dr.",
        "credential": "DVM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-02-08",
        "last_updated": "2017-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "173000000X",
            "taxonomy_group": "",
            "desc": "Legal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE NUMBER",
            "identifier": "5979",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chattanooga, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2017; 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.