David W. Brandes, MD

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

License

A24843 Issued in CA

Practice address

2060 Lakeside Centre Way
Knoxville, TN 37922-6591

Phone

(865) 218-6222

Fax

(865) 218-6220

NPI assigned

Aug 25, 2006

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

Enrolled in TN

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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 and National Provider Directory roles.

• Active Life, LLC

  • Prosthetic/Orthotic Supplier
  • Murrieta, CA
  • NPI 1174293997
  NPD (past)

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

{
    "created_epoch": "1156464000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1416355200000",
    "number": "1487761144",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2060 LAKESIDE CENTRE WAY",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379226591",
            "telephone_number": "865-218-6222",
            "fax_number": "865-218-6220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2060 LAKESIDE CENTRE WAY",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379226591",
            "telephone_number": "865-218-6222",
            "fax_number": "865-218-6220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRANDES",
        "first_name": "DAVID",
        "middle_name": "W.",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-25",
        "last_updated": "2014-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "CA",
            "license": "A24843",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Glenda Darlene Branch
• Jordan Elizabeth Branch
• Robert Branch
• Brooke Brandel
• Maria Gabriella Brandel, DO
• Amanda Lynn Brandner
• Catherine Brandon-Smith, CMSW
• Courtney Ashley Brandon, LPC/MHSP
• Jean Louise Brandon, MA, CCC-SLP
• Rebecca Brandon, CRNA

• Neurology Physician in Knoxville, TN
• Providers in Knoxville, TN by specialty
• Neurology Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.