Active NPI
Melanie Brandabur, MD
- Neurology Physician
- Sunnyvale, CA
National Provider Identifier
1700815925
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- G87793
- Practice address
- 675 Almanor Ave
Sunnyvale, CA 94085-2934 - Phone
- (408) 734-2800
- Fax
- (408) 734-8522
- NPI assigned
- Jul 1, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | G87793 | CA | Primary |
Addresses
Primary practice location
675 Almanor Ave
Sunnyvale, CA 94085-2934
Mailing address
675 Almanor Ave
Sunnyvale, CA 94085-2934
Phone (408) 734-2800
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| G87793 | Other | CA | STATE LICENSE |
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 |
|---|---|---|---|
| G87793 | CA | MD | Neurology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bonaventure Medical Foundation, LLC | Past | Accepting new patients |
Organizations & group practices 1
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.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151712000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1313452800000",
"number": "1700815925",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "675 ALMANOR AVE",
"city": "SUNNYVALE",
"state": "CA",
"postal_code": "940852934",
"telephone_number": "408-734-2800",
"fax_number": "408-734-9208"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "675 ALMANOR AVE",
"city": "SUNNYVALE",
"state": "CA",
"postal_code": "940852934",
"telephone_number": "408-734-2800",
"fax_number": "408-734-8522"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRANDABUR",
"first_name": "MELANIE",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-01",
"last_updated": "2011-08-16",
"status": "A"
},
"taxonomies": [
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "CA",
"license": "G87793",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "G87793",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Sunnyvale, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.