Brandon Wade Cook
Orthopaedic Surgeon Orthopaedic Spine Surgeon
1034 Mar Walt Dr Unit 100
Fort Walton Beach
, Florida 32547
Brandon Wade Cook
Orthopaedic Surgeon Orthopaedic Spine Surgeon
1034 Mar Walt Dr Unit 100
Fort Walton Beach
, Florida 32547
(850) 315-9350
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About
Features
Specialties
- Orthopaedic Surgeon
- Orthopaedic Spine Surgeon
Languages spoken
- English
Location
First Address
- Brandon Wade Cook
- Po Box 740923
- Atlanta, GA
- Zip : 30374-0923
- Fax : (850) 315-9350
- Phone : (805) 860-2153
Second Address
- Brandon Wade Cook
- 1034 Mar Walt Dr Unit 100
- Fort Walton Beach, FL
- Zip : 32547
- Fax : (850) 315-9350
- Phone : (850) 860-2153
Reviews
FAQs
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 207X00000X | Orthopaedic Surgeon | 51035 | KY |
| Y | 207X00000X | Orthopaedic Surgeon | ME139218 | FL |
| N | 207XS0117X | Orthopaedic Spine Surgeon | 51035 | KY |
National Provider Identifier
| NPI | 1063857753 |
|---|---|
| Provider Name | Brandon Wade Cook |
| First Address | Atlanta, GA 30374-0923 |
| Second Address | Fort Walton Beach, FL 32547 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 08/05/2013 |
| Last Update Date | 02/08/2019 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 300014045 | (05) | IN |
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.