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Individual

DR. BRANDON LAMAR BREGMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
45 NE LOOP 410, SUITE 900, SAN ANTONIO, TX 78216-5832
(210) 413-2932
Mailing address
45 NE LOOP 410, SUITE 900, SAN ANTONIO, TX 78216-5832
(210) 375-7790

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
200978
LA
207L00000X
Anesthesiology Physician
Primary
N7780
TX
367500000X
Certified Registered Nurse Anesthetist
200978
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00054780
MS
05
009942893
AL
05
1052841
LA
01
200978
LICENSE
LA
Enumeration date
10/17/2006
Last updated
04/11/2013
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