Brandon Family Medicine PLLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

179751 Issued in NY

Legal business name

BRANDON FAMILY MEDICINE PLLC

Practice address

2550 Baird Rd
Penfield, NY 14526-2331

Phone

(585) 385-0590

Fax

(585) 385-0969

NPI assigned

May 2, 2007

Organization subpart

No

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

Authorized official

Name

Robert J Brandon, MD

Title

Owner

Phone

(585) 385-0590

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1178064000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1194946384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2550 BAIRD RD",
            "city": "PENFIELD",
            "state": "NY",
            "postal_code": "145262331",
            "telephone_number": "585-385-0590",
            "fax_number": "585-385-0969"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2550 BAIRD RD",
            "city": "PENFIELD",
            "state": "NY",
            "postal_code": "145262331",
            "telephone_number": "585-385-0590",
            "fax_number": "585-385-0969"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRANDON FAMILY MEDICINE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-02",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BRANDON",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "585-385-0590",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "179751",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• All providers in Penfield, NY
• Internal Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.