Gilbert Theodore Brandon, MD is a
Otolaryngology physician based in Clarksville, Tennessee. Gilbert Theodore Brandon is licensed to practice in Tennessee (license number 14164) and his current practice location is 1740 Memorial Dr, Clarksville, Tennessee. He can be reached at his office (for appointments etc.) via phone at
(931) 245-8700.
NPI number for Gilbert Theodore Brandon is 1811987050 and his current mailing address is Po Box 3799, Dept A, Clarksville, Tennessee. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1811987050.
Physician's Profile
| Full Name | Gilbert Theodore Brandon |
|---|
| Gender | Male |
|---|
| Speciality | Otolaryngology |
|---|
| Location | 1740 Memorial Dr, Clarksville, Tennessee |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1811987050
- Provider Enumeration Date: 10/27/2005
- Last Update Date: 05/03/2013
Medical Identifiers
Medical identifiers for Gilbert Theodore Brandon such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1811987050 | NPI | - | NPPES |
| 3032426 | Medicaid | TN | |
| 040008556 | Other | TN | RR MEDICARE |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207Y00000X | Otolaryngology | 14164 (Tennessee) | Primary |
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. Gilbert Theodore Brandon 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 |
|---|
Gilbert Theodore Brandon, MD
Po Box 3799, Dept A,
Clarksville, TN 37043-3799
Ph: (931) 245-8700 | Gilbert Theodore Brandon, MD
1740 Memorial Dr,
Clarksville, TN 37043-4561
Ph: (931) 245-8700 |
Reviews and Comments