Individual provider · NPI-1

Dr. Brandi Nicole Blackburn, M.D.

Internal Medicine · Somerset, KY

NPI number1932466083

StatusActive

Last updated in NPPESFeb 1, 2024

Details

NPI: 1932466083
Entity type: Individual (NPI-1)
Name: Dr. Brandi Nicole Blackburn
Credential: M.D.
Sex: Female
Sole proprietor: No
Enumeration date: Apr 13, 2012
Last updated: Feb 1, 2024

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
207R00000X	Internal Medicine	MD.32928	AL	Yes
207R00000X	Internal Medicine	32928	AL
390200000X	Student in an Organized Health Care Education/Training Program	–	–

Practice location

305 Langdon St
Somerset, KY 42503-2750

Phone 606-679-7441

Mailing address

1805 Rainey Rd
Somerset, KY 42503-5531

Phone 205-834-5141

Other practice locations

1808 7th Ave S
Birmingham, AL 35233-1912

Phone 205-934-2062 · Fax 205-801-8067

1808 7th Ave S
Birmingham, AL 35233-1912

Phone 205-934-2062 · Fax 205-801-8067

619 19th St S
Birmingham, AL 35249-1900

Phone 205-934-9666

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