Provider Demographics
NPI:1386908416
Name:JAMES, BRANDON REAGAN (DPM)
Entity type:Individual
Prefix:DR
First Name:BRANDON
Middle Name:REAGAN
Last Name:JAMES
Suffix:
Gender:M
Credentials:DPM
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Other - First Name:
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Mailing Address - Street 1:2115 STEPHENS PL
Mailing Address - Street 2:STE. 930
Mailing Address - City:NEW BRAUNFELS
Mailing Address - State:TX
Mailing Address - Zip Code:78130-2134
Mailing Address - Country:US
Mailing Address - Phone:830-387-4427
Mailing Address - Fax:830-387-4328
Practice Address - Street 1:2115 STEPHENS PL
Practice Address - Street 2:SUITE 930
Practice Address - City:NEW BRAUNFELS
Practice Address - State:TX
Practice Address - Zip Code:78130-2134
Practice Address - Country:US
Practice Address - Phone:830-387-4427
Practice Address - Fax:830-387-4328
Is Sole Proprietor?:No
Enumeration Date:2012-07-03
Last Update Date:2017-04-13
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MI5901002462213ES0103X
TX2158213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle Surgery