MR. ROMAN R BRANTLEY (NPI# 1356399950) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1356399950 |
Entity Type | Individual |
Full Name | MR. ROMAN R BRANTLEY |
Credential | MD |
Practice Address |
35 W Lakeshore Dr Ste 200 Birmingham AL 35209-7250 |
Mailing Address |
817 Princeton Ave Sw Ste 210 Birmingham AL 35211-1348 |
Practice Telephone | 2052265900 |
Practice Fax Number | 2052265937 |
Mailing Telephone | 2052265911 |
Mailing Fax Number | 2052265937 |
Enumeration Date | 2006-05-05 |
Last Update Date | 2018-10-31 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207RN0300X |
Internal Medicine Specialization: Nephrology |
16517 | AL | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
AL | 000034364 | 05 |
Street Address |
35 W LAKESHORE DR STE 200 |
City | BIRMINGHAM |
State | AL |
Zip Code | 35209-7250 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1467773671 | Benjamin Robert Broome | Internal Medicine | 35 W Lakeshore Dr Ste 200, Birmingham, AL 35209-7250 | 2010-06-22 |
1023335312 | Timothy Alphonzo Williams | Internal Medicine | 35 W Lakeshore Dr Ste 200, Birmingham, AL 35209-7250 | 2010-04-26 |
1245440585 | Phillip Madonia | Internal Medicine | 35 W Lakeshore Dr Ste 200, Birmingham, AL 35209-7250 | 2007-05-23 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1437793510 | Marissa M Mcintyre | Registered Nurse | 3401 Independence Drive, Suite 221, Birmingham, AL 35209 | 2019-11-01 |
1093284457 | Patriot Healthcare of Alabama, LLC | Family Medicine | 2045 Brookwood Medical Center Drive, Suite 1, Birmingham, AL 35209 | 2018-11-15 |
1164902268 | Lucy Johnston | Physician Assistant | 1602 Woodfern Dr, Homewood, AL 35209 | 2018-08-17 |
1881184646 | Wade Louis Grady | Specialist/Technologist | 800 Larkshore Drive, Birmingham, AL 35209 | 2018-05-16 |
1154823029 | Taylor Payne | Physical Medicine & Rehabilitation | 109 Devon Dr, Birmingham, AL 35209 | 2018-03-06 |
1396251542 | 1st America Infusion Services LLC | Durable Medical Equipment & Medical Supplies | 120 Oxmoor Blvd Ste 100, Birmingham, AL 35209 | 2017-12-26 |
1376060954 | Hannah Holloway | Specialist/Technologist | 725 Crest Lane, Birmingham, AL 35209 | 2017-08-24 |
1558887463 | Paul A Rhodes | Nurse Practitioner | 631 Beacon Center Office Park, Suite 108, Birmingham, AL 35209 | 2017-08-22 |
1538542196 | Proteus Molecular and Clinical Lab LLC | Clinical Medical Laboratory | 218 Summit Pkwy, Suite 250, Homewood, AL 35209 | 2015-07-01 |
1124407739 | Randall Alban | Nurse Practitioner | 2100 Southbridge Parkway, Suite 650, Birmingham, AL 35209 | 2015-05-28 |
Find all providers in zip 35209 |
Taxonomy Code | 207RN0300X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Internal Medicine |
Specialization | Nephrology |
An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1407192172 | Nephrology Medical Associates of Georgia, LLC | Internal Medicine | 3570 Grandview Pkwy Ste 2, Birmingham, AL 35243-2064 | 2012-12-27 |
1851649669 | Saad Mohammed Shariff | Internal Medicine | 1900 University Blvd, Tht 643, Birmingham, AL 35294 | 2012-08-28 |
1851690069 | Lifeline Vascular Birmingham, Inc | Internal Medicine | 201 London Pkwy, Suite 500, Birmingham, AL 35211-6304 | 2011-03-28 |
1154587897 | Mamatha Gandhi | Internal Medicine | 3570 Grandview Pkwy Ste 101, Birmingham, AL 35243-2065 | 2008-08-01 |
1902078405 | Azita Takeshian Md PC | Internal Medicine | 100 Pilot Medical Dr Ste 275, Birmingham, AL 35235-3475 | 2008-03-25 |
1457564601 | Roman A Shingarev | Internal Medicine | 61919th St S, Birmingham, AL 35249-0001 | 2007-05-07 |
1093896466 | Eastern Nephrology, PC | Internal Medicine | 1524 Huffman Road, Birmingham, AL 35215 | 2006-10-18 |
1992772677 | Bharat Sarathi Kapoor | Internal Medicine | 5313 Brookwood Blvd, Ste 310, Birmingham, AL 35209-6862 | 2006-03-02 |
1508245226 | John William Elliott | Internal Medicine | 840 Montclair Rd, Suite 317, Birmingham, AL 35213-1920 | 2015-05-27 |
1689051419 | Katie Bean | Internal Medicine | 2000 6th Ave S, Birmingham, AL 35233-2110 | 2015-04-30 |
Find all providers in BIRMINGHAM |
City | BIRMINGHAM |
Zip Code | 35209 |
Please comment or provide details below to improve the information on MR. ROMAN R BRANTLEY.
Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.