Brenn, Bruce Randall
Brenn, Bruce Randall is an individual health care provider with primary practice located at 3601 Tvc , Nashville TN 37232-3607. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatric Anesthesiology, Allopathic & Osteopathic Physicians / Anesthesiology. Allopathic & Osteopathic Physicians / Pediatric Anesthesiology is his primary health care specialty. Brenn, Bruce Randall can be contacted via phone (615) 322-3000.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatric Anesthesiology | 207LP3000X | 56336 | Tennessee |
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | C10004086 | Delaware |
| Allopathic & Osteopathic Physicians / Pediatric Anesthesiology | 207LP3000X | C10004086 | Delaware |
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | 56336 | Tennessee |
Profile Details
| NPI number | 1679664932 |
|---|---|
| LBN Legal business name | Brenn, Bruce Randall |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 28th, 2006 |
| Last updated | Mar 17th, 2018 - about 6 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1679664932 | NPPES |
| Pennsylvania | MEDICAID | 001455060 | |
| Pennsylvania | MEDICAID | 01438128 | |
| Pennsylvania | MEDICAID | 1604619 | |
| Pennsylvania | MEDICAID | 5700825 | |
| Pennsylvania | MEDICAID | Q04086 | |
| Pennsylvania | MEDICAID | 5622107 |
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