DR. OTIS W. BRAWLEY (NPI# 1912915109) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912915109 |
| Entity Type | Individual |
| Full Name | DR. OTIS W. BRAWLEY |
| Credential | M.D. |
| Practice Address |
Winship Cancer Institute 1365 Clifton Rd., Ne Ste C4014 Atlanta GA 30322-0001 |
| Practice Telephone | 4047781235 |
| Practice Fax Number | 4047785048 |
| Mailing Telephone | 4047781235 |
| Mailing Fax Number | 4047785048 |
| Enumeration Date | 2006-08-03 |
| Last Update Date | 2013-03-26 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RH0003X |
Internal Medicine Specialization: Hematology & Oncology |
050766 | GA | Allopathic & Osteopathic Physicians |
| Street Address |
WINSHIP CANCER INSTITUTE 1365 CLIFTON RD., NE STE C4014 |
| City | ATLANTA |
| State | GA |
| Zip Code | 30322-0001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700445830 | Justin Gill | Student in an Organized Health Care Education/Training Program | 1365 Clifton Rd Ne, Clinic B - Suite B6100, Atlanta, GA 30322 | 2019-06-12 |
| 1891354510 | Gwendolyn Gisiner Gunn | Genetic Counselor, MS | Emory Genetics Clinic, 1365 Clifton Road Ne, Atlanta, GA 30322 | 2019-06-06 |
| 1144710567 | Lisa Cathy-ann Akosa | Registered Nurse | 1365 Cifton Road Ne, Atlanta, GA 30322 | 2018-05-10 |
| 1083118004 | Jessica Milian Keilson | Student in an Organized Health Care Education/Training Program | 1364 Clifton Road Ne, Suite H100, Emory University Hospital Office of Surgical Education, Atlanta, GA 30322 | 2018-03-23 |
| 1568982684 | Jennifer Bilko | Dietitian, Registered | 1365 Clifton Rd., Bldg A, 1st Floor, Suite 1450, Atlanta, GA 30322 | 2017-06-20 |
| 1134652258 | Kassahun Bilcha | Student in an Organized Health Care Education/Training Program | 1525 Clifton Rd Ne Ste 100, Atlanta, GA 30322 | 2017-04-05 |
| 1356872246 | Tova Rogers | Dermatology | 1525 Clifton Road Suite 105, Atlanta, GA 30322 | 2017-03-23 |
| 1194271445 | Dina Amin | Dentist | 1365 Clifton,building B, Oral and Maxillofacial Surgery, Suite 2300, Atlanta, GA 30322 | 2016-08-28 |
| 1427404904 | Rita Kaur Kuwahara | Student in an Organized Health Care Education/Training Program | 100 Woodruff Circle, Suite 327, Atlanta, GA 30322 | 2016-05-13 |
| 1891176251 | Octav Cristea | Transplant Surgery | 1365 Clifton Road Northeast, Building B, 6th Floor, Atlanta, GA 30322 | 2015-06-11 |
| Find all providers in zip 30322 | ||||
| Taxonomy Code | 207RH0003X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Hematology & Oncology |
| An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2007. [7/1/2008: definiton added, source added; 7/1/2011: modified source] - Additional Resources: http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538669296 | Nizar Jacques J Bahlis | Internal Medicine | Winship Cancer Institute 1365 Clifton Rd Building C, Atlanta, GA 30322-0001 | 2018-02-19 |
| 1598085193 | Mehmet Asim Bilen | Internal Medicine | Winship Cancer Institute of Emory University, 1365c Clifton Road, Atlanta, GA 30322-0001 | 2010-06-04 |
| 1841440856 | More Than Ready Company LLC | Internal Medicine | 5456 Peachtree Industrial Blvd # 636, Atlanta, GA 30341-2235 | 2008-09-26 |
| 1356479190 | Richard Steven Leff | Internal Medicine | 1300 Parkwood Cir Se, Atlanta, GA 30339-2143 | 2007-03-01 |
| 1841342276 | Paul Richter | Internal Medicine | 3920 Randall Farm Road, Atlanta, GA 30339 | 2007-01-17 |
| 1326102328 | Gary S Rana | Internal Medicine | 125 N Devereux Ct Nw, Nw, Atlanta, GA 30327-4351 | 2006-12-21 |
| 1871665265 | Ann E Haight | Internal Medicine | 1405 Clifton Road Ne, 3rd Fl, Atlanta, GA 30322 | 2006-11-14 |
| 1386687721 | Robert S Allen | Internal Medicine | 1005 Oxford Rd Ne, Atlanta, GA 30306-2605 | 2006-06-14 |
| 1619919602 | Aparna Reddy Kumar | Internal Medicine | 6105 Peachtree Dunwoody Rd Ste A150, Atlanta, GA 30328 | 2006-06-12 |
| 1275591067 | Eric Dean Mininberg | Internal Medicine | 1800 Howell Mill Rd Nw Ste 800, Atlanta, GA 30318-0922 | 2006-05-02 |
| Find all providers in ATLANTA | ||||
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| 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.