John Brandsma, DVM

Primary specialty

Military Health Care ProviderTaxonomy code 171000000X

License

VET010079 Issued in GA

Practice address

6301 Indianhead Rd
Fort Moore, GA 31905

Phone

(719) 684-4987

NPI assigned

Dec 22, 2023

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1703203200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703635200000",
    "number": "1326817016",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "569 OSWICHEE RD",
            "city": "SEALE",
            "state": "AL",
            "postal_code": "368754815"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6301 INDIANHEAD RD",
            "city": "FORT MOORE",
            "state": "GA",
            "postal_code": "31905",
            "telephone_number": "719-684-4987"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "569 Oswichee Rd",
            "address_purpose": "LOCATION",
            "city": "Seale",
            "state": "AL",
            "postal_code": "368754815",
            "country_code": "US",
            "telephone_number": "719-684-4987",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRANDSMA",
        "first_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "DVM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-12-22",
        "last_updated": "2023-12-27",
        "certification_date": "2023-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171000000X",
            "taxonomy_group": "",
            "desc": "Military Health Care Provider",
            "state": "GA",
            "license": "VET010079",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Graeme Philip Bloomfield, MD
• Anthony Charles Bonfiglio, M.D.
• Andrew Bordelon, PA-C
• Dantae Bowie, D.O.
• Christin Noel Boyd, OT
• Rae Michelle Broadnax, NP
• Tajaki Lewis Broussard, PHARM D
• Tiffany Nacole Bruce, LCSW
• Lashonda Taketisa Brummitt, LPC, CCADC
• Kellie Buck, LCSW

• Military Health Care Provider in Fort Moore, GA
• Providers in Fort Moore, GA by specialty
• Military Health Care Provider in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2023; 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.