Individual
GEORGE R. BRENGEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
9220 FOREST HILL AVE, SUITE 1-A, RICHMOND, VA 23235-6800
(804) 560-8838
(804) 560-3527
Mailing address
9220 FOREST HILL AVE, SUITE 1-A, RICHMOND, VA 23235-6800
(804) 560-8838
(804) 560-3527
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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