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TIMOTHY GAGE BRANHAM MD
NPI 1194401109
Student in an Organized Health Care Education/Training Program in Memphis, TN

Active since June 26, 2023
6025 WALNUT GROVE ROAD SUITE 207, MEMPHIS, TN 38120(901) 226-4287 Get Directions Write a Review

NPPES record last updated: June 26, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Timothy Gage Branham Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TIMOTHY GAGE BRANHAM MD (NPI 1194401109) is an individual student in an organized health care education/training program in Memphis, Tennessee and active in the NPI registry since June 2023.

NPPES Registry Identity

NPI1194401109
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameTIMOTHY GAGE BRANHAMCredential: MD
Location Address6025 WALNUT GROVE ROAD SUITE 207Memphis, TN 38120
Mailing Address6025 Walnut Grove Road Suite 207Memphis, TN 38120 · (901) 226-4287
Phone(901) 226-4287
Sole ProprietorNo
Enumeration DateJune 26, 2023
NPPES CertifiedJune 21, 2023
✔ NPI 1194401109 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
6025 WALNUT GROVE ROAD SUITE 207, Memphis, TN 38120
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Timothy Branham's NPI number?

The NPI number for Timothy Branham is 1194401109. It was assigned to this individual provider in the NPPES registry on June 26, 2023.

Where is Timothy Branham located?

Timothy Branham practices at 6025 Walnut Grove Road Suite 207, Memphis, TN 38120. The listed phone number is (901) 226-4287.

What is Timothy Branham's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Timothy Branham was last updated on June 26, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.