Individual
BRENT WILLIAM GINSBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
17236
KS
207RG0100X
Gastroenterology Physician
Primary
R9326
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
100003019
RR MEDICARE
—
05
—
100203510A
—
KS
05
—
201354313
—
MO
Enumeration date
06/30/2005
Last updated
05/13/2015
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