Individual
RONALD K BRIMBERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
601 W MAPLE AVE, SUITE 102, SPRINGDALE, AR 72764-5379
(479) 750-6585
(479) 750-6594
Mailing address
601 W MAPLE AVE, SUITE 102, SPRINGDALE, AR 72764-5379
(479) 750-6585
(479) 750-6594
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
C-6028
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
080153473
RAILROAD MEDICARE
AR
05
—
105374001
—
AR
01
—
11671000000
QUAL CHOICE
AR
01
—
1353054
UNITED HEALTH CARE
AR
01
—
390702
HEALTHLINK
AR
01
—
50638
BCBS
AR
01
—
5498573
AETNA
AR
01
—
971868
FIRST HEALTH
AR
Enumeration date
01/20/2006
Last updated
10/26/2011
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