NPI 1902291859 · live from the CMS NPI Registry
Brent Aebi, M.D.
Ophthalmology in Bristol, TN. National Provider Identifier 1902291859, active.
NPI record
| NPI | 1902291859 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Ophthalmology 207W00000X |
| Practice location | 3185 W State St Ste 2010, Bristol, TN 37620 |
| Practice phone | 423-968-7555 |
| Mailing address | Po Box 699, Mountain Home, TN 37684 |
| Enumerated | March 30, 2015 |
| Last updated | February 28, 2024 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Ophthalmology | 207W00000X | 0101266297 (VA) |
| Ophthalmology primary | 207W00000X | 59087 (TN) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.