Provider Demographics
NPI:1487771176
Name:PATTERSON, BRANDY RENE (MD)
Entity type:Individual
Prefix:
First Name:BRANDY
Middle Name:RENE
Last Name:PATTERSON
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:BRANDY
Other - Middle Name:RENE
Other - Last Name:MCCREIGHT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:2006 BROOKWOOD MEDICAL CTR DR STE 202
Mailing Address - Street 2:
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35209-6823
Mailing Address - Country:US
Mailing Address - Phone:205-397-8850
Mailing Address - Fax:205-397-8855
Practice Address - Street 1:2006 BROOKWOOD MEDICAL CTR DR STE 202
Practice Address - Street 2:
Practice Address - City:BIRMINGHAM
Practice Address - State:AL
Practice Address - Zip Code:35209-6823
Practice Address - Country:US
Practice Address - Phone:205-397-8850
Practice Address - Fax:205-397-8855
Is Sole Proprietor?:No
Enumeration Date:2007-03-26
Last Update Date:2024-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MS20493207V00000X
AL27832207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL222937Medicaid
AL512-15400OtherBCBS