Brandon Gerard Gaynor
Neurosurgeon
4400 W 95th St Suite 407
Oak Lawn
, Illinois 60453-2654
Brandon Gerard Gaynor
Neurosurgeon
4400 W 95th St Suite 407
Oak Lawn
, Illinois 60453-2654
(225) 768-2185
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About
Features
Specialties
- Neurosurgeon
Languages spoken
- English
Location
First Address
- Brandon Gerard Gaynor
- 10101 Park Rowe Ave Ste 200
- Baton Rouge, LA
- Zip : 70810-1685
- Fax : (225) 768-2185
- Phone : (225) 769-2200
Second Address
- Brandon Gerard Gaynor
- 4400 W 95th St Suite 407
- Oak Lawn, IL
- Zip : 60453-2654
- Phone : (708) 684-4029
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207T00000X | Neurosurgeon | 036.140495 | IL |
National Provider Identifier
| NPI | 1104068980 |
|---|---|
| Provider Name | Brandon Gerard Gaynor |
| First Address | Baton Rouge, LA 70810-1685 |
| Second Address | Oak Lawn, IL 60453-2654 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 25/03/2009 |
| Last Update Date | 04/02/2022 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 329615 | LA MD LICENSE (01) | LA |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.