Dr Bert Alton Brantley Jr, MD is a
Internal Medicine physician based in Davidsonville, Maryland. Dr Bert Alton Brantley Jr is licensed to practice in Pennsylvania (license number MD-043526-L) and his current practice location is 2402 Fox Creek Ln, Davidsonville, Maryland. He can be reached at his office (for appointments etc.) via phone at
(202) 368-9285.
NPI number for Dr Bert Alton Brantley Jr is 1366790057 and his current mailing address is 2402 Fox Creek Ln, Davidsonville, Maryland. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1366790057.
Physician's Profile
Full Name | Dr Bert Alton Brantley Jr |
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Gender | Male |
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Speciality | Internal Medicine |
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Location | 2402 Fox Creek Ln, Davidsonville, Maryland |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1366790057
- Provider Enumeration Date: 08/28/2012
- Last Update Date: 08/28/2012
Medical Identifiers
Medical identifiers for Dr Bert Alton Brantley Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1366790057 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207R00000X | Internal Medicine | MD-043526-L (Pennsylvania) | Primary |
207R00000X | Internal Medicine | 24577 (North Carolina) | Secondary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Bert Alton Brantley Jr is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Dr Bert Alton Brantley Jr, MD 2402 Fox Creek Ln, Davidsonville, MD 21035-1151 Ph: (202) 368-9285 | Dr Bert Alton Brantley Jr, MD 2402 Fox Creek Ln, Davidsonville, MD 21035-1151 Ph: (202) 368-9285 |
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