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Contact Information

DAVID A BRENNER, MD
1 MEDICAL PARK BLVD
BRISTOL, TN37620-7430
 Phone: 423-844-1121
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Neurology

2084N0400X 13 Physician/Neurology
Indicates primary specialty

NPI Profile & details for DAVID A BRENNER · (Male)

NPI Number 1124072475
Status Active
Credentials MD
Entity Individual
Enumeration date 05/20/2006
Last updated 08/05/2024 - More than a year ago
Sole proprietor 1 Yes
Identifiers
  • AL License # 27628
  • AZ License # 32279
  • GA License # 71049
  • WA License # MD60815280
  • AL Medicaid 009939147
  • AL Medicaid 009939148
  • AL Medicaid 009939149
  • AL Medicaid 009939151
Hospital affiliation(s)
  • EAST ALABAMA MEDICAL CENTER AND SNF - (Acute Care)
    2000 PEPPERELL PARKWAY
    OPELIKA, AL 36801
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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