Gingold, Brett I

Gingold, Brett I is an individual health care provider with primary practice located at 1303 Ne Cushing Dr , Bend OR 97701-3730. He recently has only one registered license in Allopathic & Osteopathic Physicians / Sports Medicine, which is considered as his primary health care specialty. Gingold, Brett I can be contacted via phone (541) 388-2333.

Contact Information

Primary practice address
1303 Ne Cushing Dr Bend OR 97701-3730
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Sports Medicine 207XX0005X MD24347 Oregon

Profile Details

NPI number 1124090634
LBN Legal business name Gingold, Brett I
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 7th, 2006
Last updated Sep 11th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1124090634 NPPES
Oregon MEDICAID 227040
Oregon Other P00013027

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