Provider Demographics
NPI:1063513174
Name:PATTON, BRANDI BONNER-COOKE (MD)
Entity type:Individual
Prefix:DR
First Name:BRANDI
Middle Name:BONNER-COOKE
Last Name:PATTON
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:BRANDI
Other - Middle Name:BONNER
Other - Last Name:COOKE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:3844 VILLAGE CENTER DR
Mailing Address - Street 2:
Mailing Address - City:HOOVER
Mailing Address - State:AL
Mailing Address - Zip Code:35226-6263
Mailing Address - Country:US
Mailing Address - Phone:205-933-8101
Mailing Address - Fax:205-212-3996
Practice Address - Street 1:700 19TH ST S
Practice Address - Street 2:
Practice Address - City:BIRMINGHAM
Practice Address - State:AL
Practice Address - Zip Code:35233-1927
Practice Address - Country:US
Practice Address - Phone:205-933-8101
Practice Address - Fax:205-212-3996
Is Sole Proprietor?:No
Enumeration Date:2006-09-25
Last Update Date:2013-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL000256462084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry