Individual
DR. RUDY BRINER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
8441 STATE HIGHWAY 47 STE 4300, BRYAN, TX 77807-3235
(979) 776-8896
(979) 774-0716
Mailing address
14485 STATE HIGHWAY 30, COLLEGE STATION, TX 77845-4825
(979) 220-7738
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
G3179
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110199005
—
TX
01
—
8U5900
BLUE CROSS PROVIDER NUMBE
TX
01
—
P00301978
MEDICARE RAILROAD
TX
Enumeration date
08/17/2006
Last updated
04/13/2018
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