NPI 1124072475 · live from the CMS NPI Registry
David Albert Brenner, MD
Psychiatry & Neurology, Neurology in Bristol, TN. National Provider Identifier 1124072475, active.
NPI record
| NPI | 1124072475 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Psychiatry & Neurology, Neurology 2084N0400X |
| Practice location | 1 Medical Park Blvd, Bristol, TN 37620 |
| Practice phone | 423-844-1121 |
| Mailing address | 1021 W Oakland Ave Ste 310, Johnson City, TN 37604 |
| Enumerated | May 20, 2006 |
| Last updated | August 5, 2024 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatry & Neurology, Neurology | 2084N0400X | 71049 (GA) |
| Psychiatry & Neurology, Neurology | 2084N0400X | 32279 (AZ) |
| Psychiatry & Neurology, Neurology | 2084N0400X | 27628 (AL) |
| Psychiatry & Neurology, Neurology primary | 2084N0400X | MD60815280 (WA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.