Charles B Brentnall in Sylacauga - Pediatric Dermatology
Charles B Brentnall - NPI 1497751036
Charles B Brentnall is a Pediatric Dermatology in Sylacauga, Alabama. Charles B Brentnall practices all healthcare services and medical treatments related to Pediatric Dermatology. The NPI Number for Charles B Brentnall is 1497751036. The last update date is 2008-04-04.
Charles B Brentnall's current location address is Po Box 2190, Sylacauga, Alabama. You can contact this provider via phone number 2562490358 and fax number 2562498508. The mailing address for Charles B Brentnall is Po Box 2190, Sylacauga, Alabama. To know further, please read the information below!
Provider Profile Detail
Provider Name | Charles B Brentnall |
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Address | Po Box 2190, Sylacauga, Alabama |
Phone Number | 2562490358 |
Fax Number | 2562498508 |
Sole Proprietor | N |
Credentials | M.D., P.A. |
NPI Number Detail
NPI Number | 1497751036 |
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Provider Enumeration Date | 2005-06-27 |
Last Updated Date | 2008-04-04 |
Provider Mailing Address Detail
Address | Po Box 2190 |
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City | Sylacauga |
State | Alabama (AL) |
Post Code | 351505190 |
Phone Number | 2562490358 |
Fax Number | 2562498508 |
Provider's Primary Taxonomy Detail
Speciality | Pediatric Dermatology |
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Taxonomy | 207Np0225X |
Licence No | 7246 |
Definition: A pediatric dermatologist has, through additional special training, developed expertise in the treatment of specific skin disease categories with emphasis on those diseases which predominate in infants, children and adolescents. |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
---|---|---|---|
510-02286 | AL | BLUE CROSS AND BLUE SHIED | |
510-19927 | AL | BLUECROSS/BLUE SHIELD |
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What is the unique 10-digit identifier code issued to Charles B Brentnall by the Centers for Medicare & Medicaid Services?
The Charles B Brentnall has been assigned the NPI (National Provider Identifier) 1497751036 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you share the physical location details of Charles B Brentnall?
The Charles B Brentnall is situated at Po Box 2190, in the city of Sylacauga, state of AL, with the zip code 351505190.
What is Charles B Brentnall's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Charles B Brentnall is Pediatric Dermatology, and the taxonomy code that categorizes this field of expertise is 207Np0225X.
On what date did the Charles B Brentnall receive the assignment of its 1497751036 from the Centers for Medicare & Medicaid Services?
The Charles B Brentnall was issued its 1497751036 by the Centers for Medicare & Medicaid Services on 2005-06-27.
As of what date were the Charles B Brentnall's details last updated?
The information pertaining to the Charles B Brentnall, including its address, specialty, and other details, was most recently updated on 2008-04-04.