Bradley Russell Drennen in Johnstown - Pediatrics

Bradley Russell Drennen - NPI 1215993340

Bradley Russell Drennen is a Pediatrics in Johnstown, Pennsylvania. Bradley Russell Drennen practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for Bradley Russell Drennen is 1215993340. The last update date is 2019-09-18.

Bradley Russell Drennen's current location address is 1322 Eisenhower Blvd, Johnstown, Pennsylvania. You can contact this provider via phone number 8142668840 and fax number 8142662176. The mailing address for Bradley Russell Drennen is 1322 Eisenhower Blvd, Johnstown, Pennsylvania. To know further, please read the information below!

Provider Profile Detail

Provider Name Bradley Russell Drennen
Address 1322 Eisenhower Blvd, Johnstown, Pennsylvania
Phone Number 8142668840
Fax Number 8142662176
Sole Proprietor N
Credentials DO

NPI Number Detail

NPI Number 1215993340
Provider Enumeration Date 2006-04-26
Last Updated Date 2019-09-18

Provider Mailing Address Detail

Address 1322 Eisenhower Blvd
City Johnstown
State Pennsylvania (PA)
Post Code 159043307
Phone Number 8142668840
Fax Number 8142662176

Provider's Primary Taxonomy Detail

Speciality Pediatrics
Taxonomy 208000000X
Licence No 05008398L
Definition:
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
14861460001 PA --

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FAQs about Bradley Russell Drennen

What is the unique 10-digit identification code issued to Bradley Russell Drennen by the Centers for Medicare & Medicaid Services?

The Bradley Russell Drennen has been assigned the NPI (National Provider Identifier) 1215993340 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.

Could you kindly provide the complete physical address where Bradley Russell Drennen's facilities are geographically located?

The facilities of Bradley Russell Drennen are physically situated at the following location: 1322 Eisenhower Blvd, Johnstown, PA, 159043307.

What is Bradley Russell Drennen's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?

The primary area of medical expertise for Bradley Russell Drennen is Pediatrics, and the corresponding taxonomy classification code for this specialized field is 208000000X.

On what date did the Bradley Russell Drennen receive the assignment of its 1215993340 from the Centers for Medicare & Medicaid Services?

The Bradley Russell Drennen was issued its 1215993340 by the Centers for Medicare & Medicaid Services on 2006-04-26.

When was the information regarding Bradley Russell Drennen, such as address, specialty, and other details, most recently verified or confirmed to be accurate?

The information pertaining to Bradley Russell Drennen, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2019-09-18.

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