Gail Ann Brandenburg, OTR

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

31000462A Issued in IN

Practice address

8501 Harcourt Rd
Indianapolis, IN 46260

Phone

(317) 875-9105

Fax

(317) 875-8638

NPI assigned

Sep 8, 2006

Last updated

Sep 24, 2013By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Beltway Surgery Centers LLC

  dba Indiana Hand to Shoulder Beltway Surgery Center

  • Ambulatory Surgical Clinic/Center
  • Indianapolis, IN
  • NPI 1205939345
  NPD
• Indiana University Health Ambulatory Surgery Centers, LLC

  dba IU Health Surgery Center - Harcourt

  • Ambulatory Surgical Clinic/Center
  • Indianapolis, IN
  • NPI 1841187143
  NPD

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

{
    "created_epoch": "1157673600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1379980800000",
    "number": "1184728438",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8501 HARCOURT RD",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "46260",
            "telephone_number": "317-875-9105",
            "fax_number": "317-875-8638"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8501 HARCOURT RD",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "46260",
            "telephone_number": "317-875-9105",
            "fax_number": "317-875-8638"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRANDENBURG",
        "first_name": "GAIL",
        "middle_name": "ANN",
        "credential": "OTR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-08",
        "last_updated": "2013-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "IN",
            "license": "31000462A",
            "primary": true
        },
        {
            "code": "225XH1200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Hand",
            "state": "IN",
            "license": "31000462A",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "062110021",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200037100",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM HEALTH PLAN",
            "identifier": "000000179449",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P00294220",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Branches of Life Family Connections
• Branches of Life Treatment Foster Care Incorporated
• Mary Brand, FNP-BC
• Sarah Michelle Brand, MSN, APRN, FNP-C
• Seth Brand
• James Anthony Brandenburg
• Norman Reed Brandenstein, LMHC
• Krista Brandle, LCSW
• Jackson Parker Brandon
• Shemelia Brandon, RBT

• Occupational Therapist in Indianapolis, IN
• Providers in Indianapolis, IN by specialty
• Occupational Therapist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 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.