Carpenter, Brian B

Carpenter, Brian B is an individual health care provider with primary practice located at 855 Montgomery St , Fort Worth TX 76107-2553. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as his primary health care specialty. Carpenter, Brian B can be contacted via phone (817) 735-2900.

Contact Information

Primary practice address
855 Montgomery St Fort Worth TX 76107-2553
Phone: (817) 735-2900
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X 1305 Texas

Profile Details

NPI number 1154386647
LBN Legal business name Carpenter, Brian B
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 19th, 2006
Last updated Jan 18th, 2012 - about 12 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 1154386647 NPPES
Texas Other 8CP001 BCBS
Texas Other 8K7413 BCBS
Texas Other P00281279 BCBS
Texas Other P00936117 BCBS
Texas MEDICAID 121590707 BCBS
Texas MEDICAID 121590705 BCBS

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