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NPI Code Detail

MEDICARE: BRIAN THOMAS BRISTER CRNA

MEDICARE: BRIAN THOMAS BRISTER CRNA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1367500000XCertified Registered Nurse Anesthetist1-095759AL

General Provider Information

NPI Number : 1033445622
Entity Type Code : Individual
Provider Name (Legal Business Name) : BRIAN THOMAS BRISTER CRNA
Provider Business Mailing Address
First Line : 101 SIVLEY RD SW
Second Line :
City : HUNTSVILLE
State : AL
Zip : 35801-4470
Country : US
Telephone Number : 256-265-8120
Fax Number : 245-265-2186
Provider Business Practice Location Address
First Line : 101 SIVLEY RD SW
Second Line :
City : HUNTSVILLE
State : AL
Zip : 35801-4470
Country : US
Telephone Number : 256-265-8120
Fax Number : 245-265-2186
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/02/2009
Last Update Date : 01/09/2025

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Directions to “ BRIAN THOMAS BRISTER CRNA” Practice Location

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