Active NPI
Philip Sigmund Brachman Jr., MD
- Infectious Disease Physician
- Atlanta, GA
National Provider Identifier
1649273798
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Infectious Disease Physician
- License
- 030962
- Practice address
- 1745 Peachtree Road, Suite U
Kaiser Permanente Brookwood Medical Center
Atlanta, GA 30309 - Phone
- (404) 888-7688
- Fax
- (404) 355-1353
- NPI assigned
- May 23, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Infectious Disease Physician | 207RI0200X | 30962 | GA | |
| Infectious Disease Physician | 207RI0200X | 030962 | GA | Primary |
Addresses
Primary practice location
1745 Peachtree Road, Suite U
Kaiser Permanente Brookwood Medical Center
Atlanta, GA 30309
Mailing address
3495 Piedmont Road, NE
Nine Piedmont Center
Atlanta, GA 30305
Phone (404) 364-7070
Other identifiers 9
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0090823 | Other | GA | UNITED HEALTHACRE |
| 581574591 | Other | GA | PHCS |
| 581574591 | Other | GA | COVENTRY |
| 00466738B | Medicaid | GA | |
| 581574591 | Other | GA | HUMANA/TRICARE |
| 027336 | Other | GA | BLUE CROSS BLUE SHIELD |
| 0480673 | Other | GA | AETNA |
| 110064824 | Other | GA | TRAVELERS MEDICARE |
| 581574591 | Other | GA | CIGNA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 30962 | GA | MD | Infectious Disease Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1116806400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1379548800000",
"number": "1649273798",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3495 PIEDMONT ROAD, NE",
"address_2": "NINE PIEDMONT CENTER",
"city": "ATLANTA",
"state": "GA",
"postal_code": "30305",
"telephone_number": "404-364-7070",
"fax_number": "404-355-1353"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1745 PEACHTREE ROAD, SUITE U",
"address_2": "KAISER PERMANENTE BROOKWOOD MEDICAL CENTER",
"city": "ATLANTA",
"state": "GA",
"postal_code": "30309",
"telephone_number": "404-888-7688",
"fax_number": "404-355-1353"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRACHMAN",
"first_name": "PHILIP",
"middle_name": "SIGMUND",
"name_prefix": "Dr.",
"name_suffix": "Jr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-05-23",
"last_updated": "2013-09-19",
"status": "A"
},
"taxonomies": [
{
"code": "207RI0200X",
"taxonomy_group": "",
"desc": "Internal Medicine, Infectious Disease",
"state": "GA",
"license": "30962",
"primary": false
},
{
"code": "207RI0200X",
"taxonomy_group": "",
"desc": "Internal Medicine, Infectious Disease",
"state": "GA",
"license": "030962",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTHACRE",
"identifier": "0090823",
"state": "GA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHCS",
"identifier": "581574591",
"state": "GA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "COVENTRY",
"identifier": "581574591",
"state": "GA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00466738B",
"state": "GA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HUMANA/TRICARE",
"identifier": "581574591",
"state": "GA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "027336",
"state": "GA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "0480673",
"state": "GA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRAVELERS MEDICARE",
"identifier": "110064824",
"state": "GA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "581574591",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Atlanta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 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.