Provider Demographics
NPI:1174511901
Name:BRAND, WILLIAM T JR (MD)
Entity type:Individual
Prefix:
First Name:WILLIAM
Middle Name:T
Last Name:BRAND
Suffix:JR
Gender:M
Credentials:MD
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Mailing Address - Street 1:2369 STAPLES MILL RD
Mailing Address - Street 2:SUITE 200
Mailing Address - City:RICHMOND
Mailing Address - State:VA
Mailing Address - Zip Code:23230-2918
Mailing Address - Country:US
Mailing Address - Phone:804-285-4465
Mailing Address - Fax:804-285-8332
Practice Address - Street 1:7611 FOREST AVE STE 320
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23229-4946
Practice Address - Country:US
Practice Address - Phone:804-285-2965
Practice Address - Fax:804-285-5647
Is Sole Proprietor?:No
Enumeration Date:2005-10-06
Last Update Date:2020-07-27
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Provider Licenses
StateLicense IDTaxonomies
VA0101037570207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA006000916Medicaid
VA006000916Medicaid
B09052Medicare UPIN