Provider Demographics
NPI:1992966527
Name:DONNELLY, BRANDON PATRICK (MD)
Entity type:Individual
Prefix:DR
First Name:BRANDON
Middle Name:PATRICK
Last Name:DONNELLY
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:3939 HOUMA BLVD
Mailing Address - Street 2:DOCTORS' ROW SUITE 21
Mailing Address - City:METAIRIE
Mailing Address - State:LA
Mailing Address - Zip Code:70006-2931
Mailing Address - Country:US
Mailing Address - Phone:504-885-6464
Mailing Address - Fax:504-885-8993
Practice Address - Street 1:3939 HOUMA BLVD
Practice Address - Street 2:DOCTORS' ROW SUITE 21
Practice Address - City:METAIRIE
Practice Address - State:LA
Practice Address - Zip Code:70006-2931
Practice Address - Country:US
Practice Address - Phone:504-885-6464
Practice Address - Fax:504-885-8993
Is Sole Proprietor?:Yes
Enumeration Date:2008-06-17
Last Update Date:2014-08-07
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Provider Licenses
StateLicense IDTaxonomies
LAMD 204646207XS0106X, 207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207XS0106XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryHand Surgery
No207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery