MR. ROMAN R BRANTLEY


Address: 35 W Lakeshore Dr Ste 200, Birmingham, AL 35209-7250
Phone: 2052265900

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207RN0300X Internal Medicine
Specialization: Nephrology
16517 AL Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
AL 000034364 05

Office Location

Street Address 35 W LAKESHORE DR STE 200
City BIRMINGHAM
State AL
Zip Code 35209-7250

Providers in the same location

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

Providers in the same zip code

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 Information

Taxonomy Code 207RN0300X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Nephrology

Taxonomy Definition

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.

Providers in the same taxonomy and city

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

Competitor

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City BIRMINGHAM
Zip Code 35209

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Dataset Information

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.

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