Provider Demographics
NPI:1134485899
Name:SCOTT, BRANDON R (MD)
Entity type:Individual
Prefix:
First Name:BRANDON
Middle Name:R
Last Name:SCOTT
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:9828 E SHANNON WOODS CIR # 100
Mailing Address - Street 2:
Mailing Address - City:WICHITA
Mailing Address - State:KS
Mailing Address - Zip Code:67226-4100
Mailing Address - Country:US
Mailing Address - Phone:316-631-1600
Mailing Address - Fax:316-631-1683
Practice Address - Street 1:740 S LIMESTONE STE D135
Practice Address - Street 2:
Practice Address - City:LEXINGTON
Practice Address - State:KY
Practice Address - Zip Code:40536-4100
Practice Address - Country:US
Practice Address - Phone:859-323-5533
Practice Address - Fax:859-257-3634
Is Sole Proprietor?:No
Enumeration Date:2012-04-06
Last Update Date:2024-02-19
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
KS04-40725207X00000X
KY50468207XX0801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207XX0801XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryOrthopaedic Trauma
No207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery