Bringman, Konni Elaine
Bringman, Konni Elaine is an individual health care provider with primary practice located at 4201 Mitchellville Rd Suite 102, Bowie MD 20716-3163. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Bringman, Konni Elaine can be contacted via phone (301) 262-5900.Contact Information
Primary practice address
4201 Mitchellville Rd Suite 102
Bowie MD 20716-3163
Phone: (301) 262-5900
Fax: (410) 741-0865
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | D0051169 | Maryland |
Profile Details
| NPI number | 1194726000 |
|---|---|
| LBN Legal business name | Bringman, Konni Elaine |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 2nd, 2005 |
| Last updated | Jan 24th, 2011 - about 13 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 | 1194726000 | NPPES |
| Maryland | Other | 5368532 | AETNA FEE FOR SERVICE |
| Maryland | Other | 7605-0005 | AETNA FEE FOR SERVICE |
| Maryland | MEDICAID | 807800900 | AETNA FEE FOR SERVICE |
| Maryland | Other | 034261 | AETNA FEE FOR SERVICE |
| Maryland | Other | 851458 | AETNA FEE FOR SERVICE |
| Maryland | Other | 54608401 | AETNA FEE FOR SERVICE |
| Maryland | Other | 251458 | AETNA FEE FOR SERVICE |
| Maryland | Other | 0961354 | AETNA FEE FOR SERVICE |
| Maryland | Other | 80151855 | AETNA FEE FOR SERVICE |
| Maryland | Other | 5924717 | AETNA FEE FOR SERVICE |
| Maryland | Other | P13928 | AETNA FEE FOR SERVICE |
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