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Contact Information

JIM N BRANTNER, MD
1303 SUNSET DR
SUITE 5
JOHNSON CITY, TN37604-7905
 Phone: 423-328-9000
 Fax: 423-328-9007
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Plastic Surgery

208200000X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for JIM N BRANTNER · (Male)

NPI Number 1275522567
Status Active
Credentials MD
Entity Individual
Enumeration date 10/19/2005
Last updated 11/13/2019 - About 7 years ago
Sole proprietor 1 Yes
Identifiers
  • TN License # MD25117
  • TN Medicaid 3081165
  • TN Other 178630 BLUECROSS BLUESHIELD
Hospital affiliation(s)
  • JOHNSON CITY MEDICAL CENTER - (Acute Care)
    400 N STATE OF FRANKLIN RD
    JOHNSON CITY, TN 37604
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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