1427561059 NPI number — GREENBROOK TMS ROANOKE

Table of content: STEVEN KENT MURMANN D.D.S. (NPI 1033131636)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1427561059 NPI number — GREENBROOK TMS ROANOKE

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
GREENBROOK TMS ROANOKE
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1427561059
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
11/06/2017
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
2965 COLONNADE DR STE 307
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
ROANOKE
Provider Business Mailing Address State Name:
VA
Provider Business Mailing Address Postal Code:
24018-3541
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
540-491-2400
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
2965 COLONNADE DR STE 307
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
ROANOKE
Provider Business Practice Location Address State Name:
VA
Provider Business Practice Location Address Postal Code:
24018-3541
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
540-491-2400
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
11/06/2017

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
NEUMANN
Authorized Official First Name:
BRYCE
Authorized Official Middle Name:
Authorized Official Title or Position:
REGIONAL MANAGER
Authorized Official Telephone Number:
855-998-4867

Provider Taxonomy Codes

  • Taxonomy code: 2084P0800X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)