| Thomas E Brinegar P C | |
|
112 Spruce St Suite 2 Bluefield VA 24605-1756 | |
| (276) 326-3386 | |
| (276) 322-4174 |
| Full Name | Thomas E Brinegar P C |
|---|---|
| Speciality | Family Medicine |
| Location | 112 Spruce St, Bluefield, Virginia |
| Authorized Official Name and Position | Thomas E Brinegar (PRESIDENT) |
| Authorized Official Contact | 2763263386 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Thomas E Brinegar P C Po Box 1006 Bluefield VA 24605-4006 Ph: (276) 326-3386 | Thomas E Brinegar P C 112 Spruce St Suite 2 Bluefield VA 24605-1756 Ph: (276) 326-3386 |
| NPI Number | 1871825414 |
|---|---|
| Provider Enumeration Date | 02/08/2010 |
| Last Update Date | 02/08/2010 |
| Medicare PECOS PAC ID | 1153452974 |
|---|---|
| Medicare Enrollment ID | O20100623000278 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871825414 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 0102036856 (Virginia) | Primary |
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