1871825414 NPI number — THOMAS E BRINEGAR P C

Table of content: (NPI 1871825414)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1871825414 NPI number — THOMAS E BRINEGAR P C

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
THOMAS E BRINEGAR P C
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:
1871825414
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
02/08/2010
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 1006
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
BLUEFIELD
Provider Business Mailing Address State Name:
VA
Provider Business Mailing Address Postal Code:
24605-4006
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
276-326-3386
Provider Business Mailing Address Fax Number:
276-322-4174

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
112 SPRUCE ST
Provider Second Line Business Practice Location Address:
SUITE 2
Provider Business Practice Location Address City Name:
BLUEFIELD
Provider Business Practice Location Address State Name:
VA
Provider Business Practice Location Address Postal Code:
24605-1756
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
276-326-3386
Provider Business Practice Location Address Fax Number:
276-322-4174
Provider Enumeration Date:
02/08/2010

Additional Information

Authorized Official

Authorized Official Last Name:
BRINEGAR
Authorized Official First Name:
THOMAS
Authorized Official Middle Name:
E
Authorized Official Title or Position:
PRESIDENT
Authorized Official Telephone Number:
276-326-3386

Provider Taxonomy Codes

  • Taxonomy code: 207Q00000X , with the licence number:  0102036856 , registered in the state of VA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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





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