Brenco is a Podiatrist in Monticello, Mississippi. Brenco practices all healthcare services and medical treatments related to Podiatrist. The NPI Number for Brenco is 1295818045. The last update date is 2010-07-15.
Brenco's current location address is Po Box 802, Monticello, Mississippi. You can contact this provider via phone number 6015871367 and fax number 6015870968. The mailing address for Brenco is Po Box 802, Monticello, Mississippi. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Brenco |
|---|---|
| Address | Po Box 802, Monticello, Mississippi |
| Phone Number | 6015871367 |
| Fax Number | 6015870968 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OFFICE MAN |
|---|---|
| Authorized Official Name | Brent Ollie |
| Telephone Number | 6015871367 |
NPI Number Detail
| NPI Number | 1295818045 |
|---|---|
| Provider Enumeration Date | 2006-10-23 |
| Last Updated Date | 2010-07-15 |
Provider Mailing Address Detail
| Address | Po Box 802 |
|---|---|
| City | Monticello |
| State | Mississippi (MS) |
| Post Code | 396540802 |
| Phone Number | 6015871367 |
| Fax Number | 6015870968 |
Provider's Primary Taxonomy Detail
| Speciality | Podiatrist |
|---|---|
| Taxonomy | 213E00000X |
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Definition: A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 4156094 | MS | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to Brenco?
The Brenco has been issued the NPI (National Provider Identifier) 1295818045 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you share the physical location details of Brenco?
The Brenco is situated at Po Box 802, in the city of Monticello, state of MS, with the zip code 396540802.
What is Brenco's area of expertise and its corresponding taxonomy classification?
The Brenco's field of specialization is Podiatrist, and it falls under the taxonomy code 213E00000X, which categorizes healthcare providers based on their areas of practice.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1295818045 to Brenco?
The Centers for Medicare & Medicaid Services originally issued the 1295818045 to Brenco on 2006-10-23.
When was the information pertaining to Brenco most recently updated or revised?
The details related to Brenco, including its address, specialty, and other relevant information, were last updated or revised on 2010-07-15.
NPI Number: 1588667679
Address: 9104 Babcock Blvd, Pittsburgh, PA