Individual
BRIGITTE SHEZELLE REINA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
583 S CLARIZZ BLVD, BLOOMINGTON, IN 47401-5515
(812) 676-4460
(812) 355-4092
Mailing address
855 W 6TH ST APT 11, WINSTON SALEM, NC 27101-2538
Taxonomy
Speciality
Code
Description
License number
State
2084E0001X
Epilepsy Physician
01094423A
IN
2084N0008X
Neuromuscular Medicine (Psychiatry & Neurology) Physician
MD220351
OR
2084N0400X
Neurology Physician
Primary
01094423A
IN
2084N0400X
Neurology Physician
2024-02850
NC
390200000X
Student in an Organized Health Care Education/Training Program
BP10082676
TX
Other
Enumeration date
03/28/2019
Last updated
01/20/2026
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