Brenner, David Albert

Brenner, David Albert is an sole proprietor health care provider with primary practice located at 1 Medical Park Blvd , Bristol TN 37620-7430. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as his primary health care specialty. Brenner, David Albert can be contacted via phone (423) 844-1121.

Contact Information

Primary practice address
1 Medical Park Blvd Bristol TN 37620-7430
Phone: (423) 844-1121
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurology 2084N0400X 71049 Georgia
Allopathic & Osteopathic Physicians / Neurology 2084N0400X 32279 Arizona
Allopathic & Osteopathic Physicians / Neurology 2084N0400X 27628 Alabama
Allopathic & Osteopathic Physicians / Neurology 2084N0400X MD60815280 Washington

Profile Details

NPI number 1124072475
LBN Legal business name Brenner, David Albert
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 20th, 2006
Last updated Jul 17th, 2024 - about last year

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 1124072475 NPPES
Alabama MEDICAID 009939147
Alabama MEDICAID 009939149
Alabama MEDICAID 009939148
Alabama MEDICAID 009939151

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