Provider Demographics
NPI:1295098499
Name:SUMNER, BRANDON J (DO)
Entity type:Individual
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First Name:BRANDON
Middle Name:J
Last Name:SUMNER
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Gender:M
Credentials:DO
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Mailing Address - Street 1:5012 S US HIGHWAY 75 STE 300
Mailing Address - Street 2:ATT. BILLING
Mailing Address - City:DENISON
Mailing Address - State:TX
Mailing Address - Zip Code:75020-4589
Mailing Address - Country:US
Mailing Address - Phone:903-416-6490
Mailing Address - Fax:903-463-1201
Practice Address - Street 1:5012 S US HIGHWAY 75 STE 105
Practice Address - Street 2:
Practice Address - City:DENISON
Practice Address - State:TX
Practice Address - Zip Code:75020-4611
Practice Address - Country:US
Practice Address - Phone:903-416-6490
Practice Address - Fax:903-463-1201
Is Sole Proprietor?:No
Enumeration Date:2012-06-21
Last Update Date:2019-11-18
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Provider Licenses
StateLicense IDTaxonomies
IAR-09531208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery