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Individual

DR. KONNI ELAINE BRINGMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
4201 MITCHELLVILLE RD, SUITE 102, BOWIE, MD 20716-3163
(301) 262-5900
(410) 741-0865
Mailing address
1111 BENFIELD BLVD, SUITE 200, MILLERSVILLE, MD 21108-3002
(410) 729-5100
(410) 729-5156

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
D0051169
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
034261
JHHC PROVIDER NUMBER
MD
01
0961354
AETNA CAPITATED
MD
01
251458
MAMSI SPECIALIST
MD
01
5368532
AETNA FEE FOR SERVICE
MD
01
54608401
CAREFIRST MD RENDERING
MD
01
5924717
CIGNA PIN
MD
01
7605-0005
CAREFIRST BLUECHOICE
MD
01
80151855
RAILROAD MEDICARE
MD
05
807800900
MD
01
851458
MAMSI PRIMARY CARE
MD
01
P13928
CAREFIRST MPOS
MD
Enumeration date
08/02/2005
Last updated
01/24/2011
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