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Deactivated NPI 1013166206 Deactivated / Inactive NPI Male Practitioner

Anthony W Brandenburg

Driver • Clinton, TN

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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, Anthony Brandenburg has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date September 12, 2008
NPI Deactivation Date July 23, 2026
Total Practice Duration ~18 Years of Practice (2008 – 2026)

Professional Overview & Biography Verified Profile Summary

Anthony Brandenburg was a registered Driver practicing in Clinton, TN. Throughout an active medical career spanning 18 years, Anthony Brandenburg provided care at the practice location at 118 IKE ANDERSON LN until profile deactivation on 2026-07-23.

Practice Location & Contact Primary Location

Practice Address

118 Ike Anderson Ln

Clinton, TN 377166575

Telephone 8654637151
Fax 8654637151

Specialty Benchmarks & Practice Insights

Comparative analytics for Driver in Clinton, TN

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
1 Specialists

Practicing in Clinton, TN (187 Statewide)

Telehealth Adoption Rate
0.0% 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

Driver Primary Specialty

NUCC Taxonomy Code: 172A00000X

State License TN 070404648

A person employed to operate a motor vehicle as a carrier of persons or property.

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 July 23, 2026

Record deactivated on July 23, 2026

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NPI Profile Active September 12, 2008

NPI status registered as active in NPPES database

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Updated Practice Location September 12, 2008

Registered at 118 IKE ANDERSON LN, CLINTON, TN 377166575 (Tel: 8654637151)

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Updated Business Mailing Address September 12, 2008

Registered at 118 IKE ANDERSON LN, CLINTON, TN 377166575 (Tel: 8654637151)

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Provider Name / Credentials Updated September 12, 2008

Recorded as ANTHONY BRANDENBURG

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Medical Taxonomy / Specialty Registered (Primary Specialty) September 12, 2008

Driver (License #070404648 in TN)

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Initial NPI Registration & Enumeration September 12, 2008

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: 1013166206
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 12, 2008
Last Update: September 12, 2008
Deactivation Date: July 23, 2026
Update or Correct Profile

Mailing Address

118 Ike Anderson Ln

Clinton, TN 377166575

Phone: 8654637151

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.