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Contact Information

EDWARD J BRANDECKER, MD
1888 ANTILLEY RD
ABILENE, TX79606-5205
 Phone: 325-795-9550
 Fax: 325-795-9537
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physical Medicine & Rehabilitation

208100000X 25 Physician/Physical Medicine and Rehabilitation
 

Specialist

174400000X
Indicates primary specialty

NPI Profile & details for EDWARD J BRANDECKER · (Male)

NPI # 1992700413
Status Active
Credentials MD
Entity Individual
Enumeration date 06/21/2005
Last updated 09/25/2012 - About 14 years ago
Sole proprietor 1 No
Identifiers
  • TX License # J2508
  • TX Medicaid 102408501
  • Other 4223641 AETNA
  • Other 81T422 BCBS
  • Other 109067100 FIRSTCARE
  • Other 250003414 MEDICARE RR
  • TX Other 8X7151 BCBS/ADC
  • TX Other 109067104 FIRSTCARE/ADC
  • TX Other CR1046 MCR RXR
  • TX Other 102408503 MEDICAID/ADC
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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