Brengman, Matthew Lester

Brengman, Matthew Lester is an individual health care provider with primary practice located at 5855 Bremo Rd Suite 406, Richmond VA 23226-1930. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Brengman, Matthew Lester can be contacted via phone (804) 285-4133.

Contact Information

Primary practice address
5855 Bremo Rd Suite 406 Richmond VA 23226-1930
Phone: (804) 285-4133
Fax: (804) 622-2224
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 0101235980 Virginia

Profile Details

NPI number 1326096272
LBN Legal business name Brengman, Matthew Lester
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 4th, 2006
Last updated Feb 4th, 2022 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1326096272 NPPES
Virginia Other C06778 GROUP PTAN
Virginia MEDICAID 010074142 GROUP PTAN
Virginia Other C06695 GROUP PTAN

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