Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207Y00000X | Otolaryngologist (ENT Doctor) | 0101264722 | VA |
Y | 207YP0228X | Pediatric Otolaryngology | 39348 | SC |
NPI | 1730404435 |
---|---|
Provider Name | William T Brand |
First Address | Charlottesville, VA 22906-9007 |
Second Address | Charlottesville, VA 22908 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 06/04/2010 |
Last Update Date | 28/06/2018 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1730404435 | (05) | VA |
393480 | (05) | SC |