Brantley, Roman Russell
Brantley, Roman Russell is an individual health care provider with primary practice located at 1088 9Th Ave Sw Ste 108 , Bessemer AL 35022-7833. He recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as his primary health care specialty. Brantley, Roman Russell can be contacted via phone (205) 226-5900.Contact Information
Primary practice address
1088 9Th Ave Sw Ste 108
Bessemer AL 35022-7833
Phone: (205) 226-5900
Fax: (205) 226-5937
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Nephrology | 207RN0300X | 16517 | Alabama |
Profile Details
| NPI number | 1356399950 |
|---|---|
| LBN Legal business name | Brantley, Roman Russell |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 5th, 2006 |
| Last updated | Feb 26th, 2025 - about last year |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1356399950 | NPPES |
| Alabama | MEDICAID | 000034364 |
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