# BRINKS FAMILY PRACTICE PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1134111594
- **Authorized official:** BRUCE CARLTON BRINK DO (PRESIDENT OF THE CORP)
- **Authorized official phone:** (812) 386-7522

## Contact information

- **Practice address:** 410 N MAIN ST, PRINCETON, IN 47670-1516
- **Practice address phone:** (812) 386-7522
- **Practice address fax:** (812) 386-1097
- **Mailing address:** 410 N MAIN ST, PRINCETON, IN 47670-1516
- **Mailing address phone:** (812) 386-7522
- **Mailing address fax:** (812) 386-1097

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 50003963A | IN | Yes |

## Other

- **Enumeration date:** 08/22/2005
- **Last updated:** 02/25/2013

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 200066740A | — | IN |