Brennaman, Bruce Howard
Brennaman, Bruce Howard is an individual health care provider with primary practice located at 920 18Th St , Columbus GA 31901-1524. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Vascular Surgery. Allopathic & Osteopathic Physicians / Vascular Surgery is his primary health care specialty. Brennaman, Bruce Howard can be contacted via phone (706) 649-6600.Contact Information
Primary practice address
920 18Th St
Columbus GA 31901-1524
Phone: (706) 649-6600
Fax: (706) 649-6614
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 31709 | Georgia |
| Allopathic & Osteopathic Physicians / Vascular Surgery | 2086S0129X | 31709 | Georgia |
Profile Details
| NPI number | 1578535563 |
|---|---|
| LBN Legal business name | Brennaman, Bruce Howard |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 3rd, 2006 |
| Last updated | Jul 1st, 2014 - about 10 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 | 1578535563 | NPPES |
| Alabama | MEDICAID | 008902960 | |
| Alabama | MEDICAID | 000318117B | |
| Alabama | Other | 52244152-005 | |
| Alabama | Other | 52244152-005 | |
| Alabama | Other | 600-37660 | |
| Alabama | Other | 154485 | |
| Alabama | Other | 000318117G |
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