Organization
BRENTWOOD MEADOWS PHYSICIAN GROUP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GLENN D BELL JR. (CEO)
(812) 858-7200
Entity
Organization
Contact information
Practice address
4488 ROSLIN RD, NEWBURGH, IN 47630-8590
(812) 858-7200
(812) 842-0086
Mailing address
4488 ROSLIN RD, NEWBURGH, IN 47630-8590
(812) 858-7200
(812) 842-0086
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
364SP0808X
Psychiatric/Mental Health Clinical Nurse Specialist
—
—
Other
Enumeration date
05/19/2014
Last updated
10/23/2014
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