Brenda M Spencer is a Medical in Brockport, New York. Brenda M Spencer practices all healthcare services and medical treatments related to Medical. The NPI Number for Brenda M Spencer is 1992773840. The last update date is 2015-04-01.
Brenda M Spencer's current location address is 6668 Fourth Section Rd, Brockport, New York. You can contact this provider via phone number 5853686870 and fax number 5853686871. The mailing address for Brenda M Spencer is 6668 Fourth Section Rd, Brockport, New York. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Brenda M Spencer |
|---|---|
| Address | 6668 Fourth Section Rd, Brockport, New York |
| Phone Number | 5853686870 |
| Fax Number | 5853686871 |
| Sole Proprietor | N |
| Credentials | PA-C |
NPI Number Detail
| NPI Number | 1992773840 |
|---|---|
| Provider Enumeration Date | 2006-03-08 |
| Last Updated Date | 2015-04-01 |
Provider Mailing Address Detail
| Address | 6668 Fourth Section Rd |
|---|---|
| City | Brockport |
| State | New York (NY) |
| Post Code | 144202448 |
| Phone Number | 5853686870 |
| Fax Number | 5853686871 |
Provider's Primary Taxonomy Detail
| Speciality | Medical |
|---|---|
| Taxonomy | 363Am0700X |
| Licence No | 5069 |
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Definition: A licensed healthcare professional who practices medicine under physician supervision focusing on medical diagnoses and treatment. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 3081963 | NY | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Brenda M Spencer by the Centers for Medicare & Medicaid Services?
The Brenda M Spencer has been assigned the NPI (National Provider Identifier) 1992773840. 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 Brenda M Spencer?
The Brenda M Spencer is physically situated at 6668 Fourth Section Rd, in the city of Brockport, state of NY, with the postal code 144202448.
What is the area of specialization for Brenda M Spencer, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Brenda M Spencer is Medical, and the corresponding taxonomy code that categorizes this area of expertise is 363Am0700X.
On what date did the Brenda M Spencer receive its 1992773840 assignment from the Centers for Medicare & Medicaid Services?
The Brenda M Spencer was assigned its 1992773840 by the Centers for Medicare & Medicaid Services on 2006-03-08.
When was the information pertaining to Brenda M Spencer most recently updated or revised?
The details related to Brenda M Spencer, including its address, specialty, and other relevant information, were last updated or revised on 2015-04-01.