JOHN BRANDON DURHAM (NPI# 1457854796) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457854796 |
| Entity Type | Individual |
| Full Name | JOHN BRANDON DURHAM |
| Credential | NP |
| Practice Address |
100 E Wood St Ste 202 Spartanburg SC 29303 |
| Mailing Address |
Po Box 743070 Atlanta GA 30374-3070 |
| Practice Telephone | 8645607070 |
| Practice Fax Number | 8645607033 |
| Mailing Telephone | 8645604304 |
| Mailing Fax Number | 8645604413 |
| Enumeration Date | 2018-03-13 |
| Last Update Date | 2018-05-30 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163W00000X | Registered Nurse | 212526 | SC | Nursing Service Providers |
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
21769 | SC | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | NP5083 | 05 | |
| SC | MEDICARE PIN | SCC5297628 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700384864 | John Durham | Respiratory Therapist, Registered | 5061 W Kingbird St, Tucson, AZ 85742-5116 | 2018-01-24 |
| 1881022002 | John Durham | Pharmacist | 261 E Lester Ave, Fresno, CA 93720-1613 | 2013-10-25 |
| 1932310398 | John C. Durham | Internal Medicine | 1530 Newnan Rd, Carrollton, GA 30116-6429 | 2007-05-25 |
| 1235103268 | John G. Durham | Podiatrist | 499 E Central Parkwy, Ste 120, Altamonte Springs, FL 32701 | 2006-02-15 |
| 1891767141 | John W Durham | Specialist | 1485 N Turquoise Drive, Ste 200, Flagstaff, AZ 86001 | 2006-02-02 |
| 1730600198 | John Henry Durham | Transportation Broker | 4751 Best Rd Ste 215, Atlanta, GA 30337-5607 | 2017-07-06 |
| 1588951198 | John Michael Durham | Physical Therapist | 2404 S Locust St, Suite 5, Las Cruces, NM 88001-5789 | 2011-07-03 |
| 1336160803 | John Robert Durham | Dentist | 220 Schooley St, Moorestown Station @ The Tracks, Moorestown, NJ 08057-2957 | 2006-07-21 |
| 1376562942 | John Derek Durham | Family Medicine | 1128 Clarksville St, Ste. 100, Paris, TX 75460-6060 | 2006-07-18 |
| 1558396309 | John H Durham | Specialist | 1175 Cook Rd Ste 115, Orangeburg, SC 29118-8201 | 2006-07-11 |
| Street Address |
100 E WOOD ST STE 202 |
| City | SPARTANBURG |
| State | SC |
| Zip Code | 29303 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730600396 | Stephanie Cannon | Nurse Practitioner | 100 E Wood St Ste 202, Spartanburg, SC 29303-3058 | 2017-07-03 |
| 1164909446 | Jessica Ann Cash | Nurse Practitioner | 100 E Wood St Ste 202, Spartanburg, SC 29303-3058 | 2018-07-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013532126 | Adam Joseph Fulcher | Family Medicine | Center for Family Medicine, 853 N. Church Street, Suite 510, Spartanburg, SC 29303 | 2020-06-15 |
| 1275011652 | Tri-state Medical Supplies, North Grove | Durable Medical Equipment & Medical Supplies | 1330 Boiling Springs Rd Ste 2900, Spartanburg, SC 29303 | 2018-07-30 |
| 1992227151 | Roxanne Pope | Speech-Language Pathologist | 290 N Grove Medical Park Dr., Spartanburg, SC 29303 | 2017-07-10 |
| 1861934879 | Cortney Redmond Mckinney I | Counselor | 250 Dewey Sve., Spartanburg, SC 29303 | 2016-11-08 |
| 1578011474 | Instride Foot and Ankle Specialists, Pllc | Podiatrist | 269 North Grove Medical Drive, Spartanburg, SC 29303 | 2016-09-20 |
| 1023477536 | Whitney Brooke Terry | Physician Assistant | 391 Serpentine Dr Ste 250, Spartanburg, SC 29303 | 2016-02-12 |
| 1306244348 | Medcare Urgent Care Spartanburg, LLC | Clinic/Center | 301 E Wood Street, Spartanburg, SC 29303 | 2014-12-08 |
| 1508201393 | Tom Ju | Anesthesiology | 1330 Boiling Springs Rd Ste 2700, Spartanburg, SC 29303 | 2013-05-07 |
| 1295072312 | Marie O'dell | Registered Nurse | 7 698 Howard Street, Spartanburg School District, Spartanburg, SC 29303 | 2013-01-09 |
| 1518203330 | Sherard Hamilton Ansley | Speech-Language Pathologist | 698 Howard St., Spartanburg School District 7, Spartanburg, SC 29303 | 2012-12-26 |
| Find all providers in zip 29303 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083231625 | Trisha Slaughter | Nurse Practitioner | 610 Adelaide Dr, Spartanburg, SC 29301-3231 | 2020-06-30 |
| 1891323457 | Jonathan Douglas Tester | Nurse Practitioner | 220 Police Club Rd, Spartanburg, SC 29303-3402 | 2020-03-30 |
| 1215455944 | Jasmine Marie Gregory | Nurse Practitioner | 300 E Blackstock Rd Ste E, Spartanburg, SC 29301-3787 | 2017-09-01 |
| 1730600396 | Stephanie Cannon | Nurse Practitioner | 100 E Wood St Ste 202, Spartanburg, SC 29303-3058 | 2017-07-03 |
| 1538698030 | Deborah Temples Anderson | Nurse Practitioner | 11 Doctors Park Dr Ste 220, Spartanburg, SC 29307-1008 | 2017-06-08 |
| 1285181990 | Faustina Baafour Evans | Nurse Practitioner | 1855 E Main St Ste 21a, Spartanburg, SC 29307-2327 | 2016-09-10 |
| 1376995159 | Natalie Nicole Kellett | Nurse Practitioner | 120 Heywood Avenue Suite 200, Spartanburg, SC 29302 | 2016-07-06 |
| 1013372390 | Erin Lavette Farr | Nurse Practitioner | 2780 East Main Street, Ltc Health Solutions, Spartanburg, SC 29307 | 2015-12-30 |
| 1992170807 | Jaime Bright | Nurse Practitioner | 301 E Wood St, Spartanburg, SC 29303-3020 | 2015-12-02 |
| 1902273808 | Tamieka Latrell Alston-gibson | Nurse Practitioner | 101 North Pine Street, Suite 210, Spartanburg, SC 29302 | 2015-08-26 |
| Find all providers in SPARTANBURG | ||||
| City | SPARTANBURG |
| Zip Code | 29303 |
Please comment or provide details below to improve the information on JOHN BRANDON DURHAM.
| 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.