Independent US Healthcare Provider Directory & Public Medical Database
Deactivated NPI 1639168362 Deactivated / Inactive NPI Male Practitioner

Dr. William Houston Brandon , MD

Internal Medicine • Jacksonville, FL

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. William Brandon has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date October 15, 2005
NPI Deactivation Date January 02, 2020
Total Practice Duration ~15 Years of Practice (2005 – 2020)

Professional Overview & Biography Verified Profile Summary

Dr. William Brandon, MD was a registered Internal Medicine practicing in Jacksonville, FL. Throughout an active medical career spanning 15 years, Dr. Brandon provided care at the practice location at 4500 SAN PABLO RD S until profile deactivation on 2020-01-02.

Practice Location & Contact Primary Location

Practice Address

4500 San Pablo Rd S

Jacksonville, FL 322241865

Telephone 9049532000
Associated Practice Facility / Clinic
🏢 Mayo Clinic Jacksonville Facility NPI 1790772317

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine in Jacksonville, FL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 24.1 Yrs
State Avg: 26.5 Yrs
Regional Practice Density
568 Specialists

Practicing in Jacksonville, FL (10650 Statewide)

Telehealth Adoption Rate
19.4% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License FL ME32377

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Katherine Walsh , PA-C, MPH

Physician Assistant

NPI 1003015280

Physician Assistant (Certified), Master of Public Health

Dr. Jami Kinnucan , MD

Internal Medicine - Gastroenterology

NPI 1003045634

Doctor of Medicine (M.D.)

Dr. Glenn Shi , MD

Orthopaedic Surgery

NPI 1003058660

Doctor of Medicine (M.D.)

Dr. Michelle Tulang , MD

Internal Medicine

NPI 1003073586

Doctor of Medicine (M.D.)

NPI 1003100520

Doctor of Medicine (M.D.)

Crystal Lynn , CRNA

Nurse Anesthetist, Certified Registered

NPI 1003148768

Certified Registered Nurse Anesthetist

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated January 02, 2020

Record deactivated on January 02, 2020

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 08, 2007

Registered at 4500 SAN PABLO RD S, JACKSONVILLE, FL 322241865 (Tel: 9049532000)

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Updated Business Mailing Address July 08, 2007

Registered at 4500 SAN PABLO RD S, JACKSONVILLE, FL 322241865 (Tel: 9049532000)

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Provider Name / Credentials Updated July 08, 2007

Recorded as WILLIAM BRANDON, M.D.

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Internal Medicine (License #ME32377 in FL)

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Initial NPI Registration & Enumeration October 15, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1639168362
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 15, 2005
Last Update: July 08, 2007
Deactivation Date: January 02, 2020

Mailing Address

4500 San Pablo Rd S

Jacksonville, FL 322241865

Phone: 9049532000

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.