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
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
Provider Enumeration Date 2005-06-27
Last Updated Date 2008-04-04

Provider Mailing Address Detail

Address Po Box 2190
City Sylacauga
State Alabama (AL)
Post Code 351505190
Phone Number 2562490358
Fax Number 2562498508

Provider's Primary Taxonomy Detail

Speciality Pediatric Dermatology
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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FAQs about Charles B Brentnall

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.

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