Petrey, Bragan D

Petrey, Bragan D is an individual health care provider with primary practice located at 1600 7Th Ave S , Birmingham AL 35233-1711. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Petrey, Bragan D can be contacted via phone (205) 939-9107.

Contact Information

Primary practice address
1600 7Th Ave S Birmingham AL 35233-1711
Phone: (205) 939-9107
Fax: (205) 939-9821
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X 1-096846 Alabama

Profile Details

NPI number 1851563407
LBN Legal business name Petrey, Bragan D
Credentials CRNP
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 24th, 2008
Last updated Jul 31st, 2008 - about 16 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 1851563407 NPPES
Alabama Other 515-36931 BLUE CROSS
Alabama MEDICAID 891013080 BLUE CROSS

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