Matthew T Bramlet in Peoria - Pediatric Cardiology

Matthew T Bramlet - NPI 1164689428

Matthew T Bramlet is a Pediatric Cardiology in Peoria, Illinois. Matthew T Bramlet practices all healthcare services and medical treatments related to Pediatric Cardiology. The NPI Number for Matthew T Bramlet is 1164689428. The last update date is 2010-12-27.

Matthew T Bramlet's current location address is 420 Ne Glen Oak Ave, Peoria, Illinois. You can contact this provider via phone number 3096553453 and fax number 3096553410. The mailing address for Matthew T Bramlet is 420 Ne Glen Oak Ave, Peoria, Illinois. To know further, please read the information below!

Provider Profile Detail

Provider Name Matthew T Bramlet
Address 420 Ne Glen Oak Ave, Peoria, Illinois
Phone Number 3096553453
Fax Number 3096553410
Sole Proprietor N
Credentials MD

NPI Number Detail

NPI Number 1164689428
Provider Enumeration Date 2008-05-22
Last Updated Date 2010-12-27

Provider Mailing Address Detail

Address 420 Ne Glen Oak Ave
City Peoria
State Illinois (IL)
Post Code 616033105
Phone Number 3096553453
Fax Number 3096553410

Provider's Primary Taxonomy Detail

Speciality Pediatric Cardiology
Taxonomy 2080P0202X
Licence No 036-123369
Definition:
A pediatric cardiologist provides comprehensive care to patients with cardiovascular problems. This specialist is skilled in selecting, performing and evaluating the structural and functional assessment of the heart and blood vessels, and the clinica

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
216946 IL MEDICARE GROUP PTAN

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FAQs about Matthew T Bramlet

What is the unique 10-digit identification code assigned to Matthew T Bramlet by the Centers for Medicare & Medicaid Services?

The Matthew T Bramlet has been issued the NPI (National Provider Identifier) 1164689428, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Can you provide the Matthew T Bramlet's physical address?

The Matthew T Bramlet is physically located at 420 Ne Glen Oak Ave, in the city of Peoria, IL, with the postal code 616033105.

What is the area of specialization for Matthew T Bramlet, and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for Matthew T Bramlet is Pediatric Cardiology, and the corresponding taxonomy code that categorizes this area of expertise is 2080P0202X.

When was the Matthew T Bramlet's 1164689428 issued?

The Matthew T Bramlet's 1164689428 was issued on 2008-05-22.

As of what date were the details related to Matthew T Bramlet most recently updated or revised?

The information pertaining to Matthew T Bramlet, including its address, specialty, and other relevant details, was last updated or revised on 2010-12-27.

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