Bradley Brennecke in Goshen - General Practice
Bradley Brennecke - NPI 1063593861
Bradley Brennecke is a General Practice in Goshen, Ohio. Bradley Brennecke practices all healthcare services and medical treatments related to General Practice. The NPI Number for Bradley Brennecke is 1063593861. The last update date is 2007-07-09.
Bradley Brennecke's current location address is 6782 Goshen Rd, Goshen, Ohio. You can contact this provider via phone number 5137222933 and fax number 5137222923. The mailing address for Bradley Brennecke is 6782 Goshen Rd, Goshen, Ohio. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Bradley Brennecke |
|---|---|
| Address | 6782 Goshen Rd, Goshen, Ohio |
| Phone Number | 5137222933 |
| Fax Number | 5137222923 |
| Sole Proprietor | N |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1063593861 |
|---|---|
| Provider Enumeration Date | 2006-10-18 |
| Last Updated Date | 2007-07-09 |
Provider Mailing Address Detail
| Address | 6782 Goshen Rd |
|---|---|
| City | Goshen |
| State | Ohio (OH) |
| Post Code | 451229317 |
| Phone Number | 5137222933 |
| Fax Number | 5137222923 |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
| Licence No | 16397 |
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Definition: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 2294539 | OH | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Bradley Brennecke by the Centers for Medicare & Medicaid Services?
The Bradley Brennecke has been assigned the NPI (National Provider Identifier) 1063593861. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where Bradley Brennecke's facilities are situated?
The facilities of Bradley Brennecke are physically located at the following address: 6782 Goshen Rd, Goshen, OH, 451229317.
What is Bradley Brennecke's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Bradley Brennecke is General Practice, and the corresponding taxonomy classification code for this specialized field is 1223G0001X.
When did Bradley Brennecke receive its 1063593861 assignment?
The Bradley Brennecke was assigned its 1063593861 on 2006-10-18, which is the date when this unique identifier was issued to the organization.
As of what date were the Bradley Brennecke's details last updated?
The information pertaining to the Bradley Brennecke, including its address, specialty, and other details, was most recently updated on 2007-07-09.
NPI Number: 1336142389
Address: Po Box 2004, East Syracuse, NY