Individual
DAVID ALBERT BRENNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1 MEDICAL PARK BLVD, BRISTOL, TN 37620-7430
(423) 844-1121
Mailing address
1021 W OAKLAND AVE STE 310, JOHNSON CITY, TN 37604-2192
(423) 302-6565
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
27628
AL
2084N0400X
Neurology Physician
32279
AZ
2084N0400X
Neurology Physician
71049
GA
2084N0400X
Neurology Physician
Primary
MD60815280
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009939147
—
AL
05
—
009939148
—
AL
05
—
009939149
—
AL
05
—
009939151
—
AL
Enumeration date
05/20/2006
Last updated
08/05/2024
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