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Contact Information

PAUL T BRIZENDINE, MD
2305 SOUTH 65 HIGHWAY
MARSHALL, MO65340-3702
 Phone: 660-886-7431
 Fax: 660-831-3314
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Emergency Medicine

207P00000X 93 Physician/Emergency Medicine
Indicates primary specialty

NPI Profile & details for PAUL T BRIZENDINE · (Male)

NPI Number 1265411045
Status Active
Credentials MD
Entity Individual
Enumeration date 01/11/2006
Last updated 08/25/2021 - About 5 years ago
Sole proprietor 1 No
Identifiers
  • KY License # 15070
  • MO License # 30161
  • KY Medicaid 64150709
  • OH Medicaid 0221281
  • WV Medicaid 0125834000
  • Other 930049487 RAILROAD
  • KY Other 000000054153 BCBS
  • KY Other 5490 MEDICARE GROUP
Hospital affiliation(s)
  • FITZGIBBON MEMORIAL HOSPITAL - (Acute Care)
    2305 S 65 HIGHWAY
    MARSHALL, MO 65340
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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