Individual
ENRIQUE M. BRINGAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
615 VALLEY VIEW DR, SUITE 201, MOLINE, IL 61265-6150
(309) 764-9404
(309) 764-9406
Mailing address
865 LINCOLN RD, SUITE L10, BETTENDORF, IA 52722-4190
(563) 355-9191
(563) 355-3419
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
036099834
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036099834
—
IL
01
—
067317
HEALTH ALLIANCE
—
01
—
4796890021
DMERC
—
01
—
510146
IOWA HEALTH SOLUTIONS
—
01
—
91287
WELLMARK BC/BS
IA
05
—
H09474
—
IL
01
—
IL01E5
JOHN DEERE HEALTH PLANS
—
Enumeration date
06/30/2005
Last updated
08/10/2021
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