Provider Demographics
NPI:1043914476
Name:BRANDT, JOSIAH PHILIP (MD)
Entity type:Individual
Prefix:
First Name:JOSIAH
Middle Name:PHILIP
Last Name:BRANDT
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:231 ALBERT SABIN WAY, ML 0528
Mailing Address - Street 2:ROOM 6413
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45267
Mailing Address - Country:US
Mailing Address - Phone:513-558-5391
Mailing Address - Fax:
Practice Address - Street 1:231 ALBERT SABIN WAY, ML 0528
Practice Address - Street 2:ROOM 6413
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45267
Practice Address - Country:US
Practice Address - Phone:513-558-5391
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-03-29
Last Update Date:2023-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program