Individual
BRENNA K GERDELMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
5145 FM 620 N BLDG I, AUSTIN, TX 78732-1839
(512) 681-5901
(512) 681-5921
Mailing address
12221 N MOPAC EXPY, AUSTIN, TX 78758-2401
(512) 681-5901
(512) 681-5921
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
L8793
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
186540401
—
TX
05
—
186540402
—
TX
05
—
186540403
—
TX
01
—
P01456795
RRMC PTAN
—
Enumeration date
07/31/2006
Last updated
01/27/2022
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