Individual
BRENT MICHAEL BERMINGHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1301 BROAD ST, AUGUSTA, GA 30901-1055
(706) 922-5864
Mailing address
625 19TH ST S, BIRMINGHAM, AL 35233-1900
(205) 934-2490
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
92438
GA
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
92438
GA
207RP1001X
Pulmonary Disease Physician
Primary
2025-01535
NC
207RP1001X
Pulmonary Disease Physician
92438
GA
Other
Enumeration date
04/14/2016
Last updated
08/11/2025
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