Michael Stephen Brandon Jr., D.D.S.

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

2017017086 Issued in MO

Practice address

3301 Berrywood Dr
Columbia, MO 65201-6517

Phone

(573) 884-6253

Fax

(573) 875-9150

NPI assigned

Mar 21, 2007

Last updated

May 9, 2019By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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)

Enrolled

State licenses

Practice roles

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.

• Curators of the University of Missouri

  dba University Physicians Specialty Care Associates

  • Oral and Maxillofacial Surgery (Dentist)
  • Columbia, MO
  • NPI 1235697913
  NPD (past)
• Central Virginia Oral & Facial Surgeons, PLC

  • Oral and Maxillofacial Surgery (Dentist)
  • Charlottesville, VA
  • NPI 1336167006
  NPD (past)
• Philip Prickett/ Mt. Pleasant Oral Facial & Implant

  dba Low Country Oral Facial & Implant

  • Oral and Maxillofacial Surgery (Dentist)
  • Mount Pleasant, SC
  • NPI 1144370339
  NPD (past)

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

{
    "created_epoch": "1174435200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1557360000000",
    "number": "1285759720",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 843966",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641843966",
            "telephone_number": "573-882-3974",
            "fax_number": "573-884-0943"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3301 BERRYWOOD DR",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652016517",
            "telephone_number": "573-884-6253",
            "fax_number": "573-875-9150"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1051 Gardner Rd Ste A",
            "address_purpose": "LOCATION",
            "city": "Charleston",
            "state": "SC",
            "postal_code": "29407",
            "country_code": "US",
            "telephone_number": "843-769-7759",
            "fax_number": "843-769-7761",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRANDON",
        "first_name": "MICHAEL",
        "middle_name": "STEPHEN",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-21",
        "last_updated": "2019-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "SC",
            "license": "4281",
            "primary": false
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "MO",
            "license": "2017017086",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joni Ruth Bramon, DO
• Andres Bran Acevedo, MD
• Janet Marie Branch, OTR/L
• Traeson Michael Brandenburg, MD
• Elizabeth A Brandon, FNP
• Caitlin Noel Brandt, MD
• Kimberly Rachel Brandt, D.O.
• Lori A Brandt, A.N.P.
• Marianne Bailey Branham, LCSW
• Thomas R Brant, DPM

• Oral and Maxillofacial Surgery (Dentist) in Columbia, MO
• Providers in Columbia, MO by specialty
• Oral and Maxillofacial Surgery (Dentist) in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2019; 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.