Theodore Edward Brisson in North Charleston - Urology
Theodore Edward Brisson - NPI 1699759563
Theodore Edward Brisson is a Urology in North Charleston, South Carolina. Theodore Edward Brisson practices all healthcare services and medical treatments related to Urology. The NPI Number for Theodore Edward Brisson is 1699759563. The last update date is 2014-04-17.
Theodore Edward Brisson's current location address is 2890 Tricom Street, North Charleston, South Carolina. You can contact this provider via phone number 8437976600 and fax number 8438201440. The mailing address for Theodore Edward Brisson is 2890 Tricom Street, North Charleston, South Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Theodore Edward Brisson |
|---|---|
| Address | 2890 Tricom Street, North Charleston, South Carolina |
| Phone Number | 8437976600 |
| Fax Number | 8438201440 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1699759563 |
|---|---|
| Provider Enumeration Date | 2005-12-02 |
| Last Updated Date | 2014-04-17 |
Provider Mailing Address Detail
| Address | 2890 Tricom Street |
|---|---|
| City | North Charleston |
| State | South Carolina (SC) |
| Post Code | 294069171 |
| Phone Number | 8437976600 |
| Fax Number | 8438201440 |
Provider's Primary Taxonomy Detail
| Speciality | Urology |
|---|---|
| Taxonomy | 208800000X |
| Licence No | ME90953 |
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Definition: A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquir |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 7026 | SC | MEDICARE GROUP | |
| GP4871 | SC | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Theodore Edward Brisson by the Centers for Medicare & Medicaid Services?
The Theodore Edward Brisson has been assigned the NPI (National Provider Identifier) 1699759563. 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 provide the complete physical location address of Theodore Edward Brisson?
The Theodore Edward Brisson is physically situated at 2890 Tricom Street, in the city of North Charleston, state of SC, with the postal code 294069171.
What is Theodore Edward Brisson's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Theodore Edward Brisson is Urology, and the taxonomy code that classifies this field of practice is 208800000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1699759563 to Theodore Edward Brisson?
The Centers for Medicare & Medicaid Services originally issued the 1699759563 to Theodore Edward Brisson on 2005-12-02.
As of what date was the information regarding Theodore Edward Brisson, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Theodore Edward Brisson, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2014-04-17.