Individual provider · NPI-1

Brandon Bruton

Physical Medicine & Rehabilitation · Dublin, GA

NPI number1063301307
StatusActive
Last updated in NPPESJul 1, 2025

Details

NPI
1063301307
Entity type
Individual (NPI-1)
Name
Mr. Brandon Bruton
Sex
Male
Sole proprietor
No
Enumeration date
Jul 1, 2025
Certification date
Jul 1, 2025
Last updated
Jul 1, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
208100000X Physical Medicine & RehabilitationPT017812GAYes

Practice location

911 Hillcrest Pkwy
Dublin, GA 31021-4207

Phone 478-275-1800 · Fax 478-275-2233

Mailing address

911 Hillcrest Pkwy
Dublin, GA 31021-4207

Phone 478-275-1800 · Fax 478-275-2233

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