Samuel I Brandt, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

MD069983L Issued in PA

Practice address

5034 Bur Oak LN
Parker, CO 80134-5448

Phone

(484) 678-7344

NPI assigned

Oct 9, 2012

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1349740800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1349740800000",
    "number": "1942552401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5034 BUR OAK LN",
            "city": "PARKER",
            "state": "CO",
            "postal_code": "801345448"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5034 BUR OAK LN",
            "city": "PARKER",
            "state": "CO",
            "postal_code": "801345448",
            "telephone_number": "484-678-7344"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRANDT",
        "first_name": "SAMUEL",
        "middle_name": "I",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-10-09",
        "last_updated": "2012-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "26496",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "VA",
            "license": "0101046456",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "MD069983L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brain Function Optimization, LLC
• Danielle Doria Braman, MSOT, OTR/L
• Abbie Brandhagen, OTD R/L
• Shirley Ann Brandland, LCMT
• Brandon Linn Orthodontics, PC
• William Andrew Brannan
• Joyce Hartman Brantley, RN
• Alexander James Brateman, PT, DPT
• Chad Bratten, PHARMD
• Rebecca Braver, PA-C

• Family Medicine Physician in Parker, CO
• Providers in Parker, CO by specialty
• Family Medicine Physician in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2012; 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.