Individual
BRENDON JOSEPH GROS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
625 19TH ST S, BIRMINGHAM, AL 35233-1900
(205) 975-7387
Mailing address
625 19TH ST S, BIRMINGHAM, AL 35233-1900
(205) 975-7387
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
MD.45017
AL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/29/2021
Last updated
10/20/2023
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