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Individual

GEORGE R. BRENGEL

Active
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Individual

GEORGE R. BRENGEL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
0101031183
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
010016452
VA
01
110199910
RAILROAD MEDICARE
VA
01
113448
SOUTHERN HEALTH SERVICES
VA
01
214490
ANTHEM BCBS OF VA
VA
01
272177
MAMSI
VA
01
45862
SENTARA
VA
01
5430444
AETNA HMO
VA
01
9213100
CIGNA
VA
01
C06778
GROUP PTAN
VA
Enumeration date
06/30/2006
Last updated
01/17/2012
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