Individual
ROBERT RANDOLPH BRINSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1 MEDICAL PARK BLVD, BRISTOL, TN 37620-7430
(423) 844-1121
Mailing address
1021 W OAKLAND AVE STE 310, JOHNSON CITY, TN 37604-2192
(423) 302-6565
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
00014649
AL
207RG0100X
Gastroenterology Physician
79267
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000081474
—
AL
Enumeration date
10/05/2006
Last updated
11/13/2023
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