Healthcare Provider Details

I. General information

NPI: 1134233133
Provider Name (Legal Business Name): HUGH P. BRINDLEY D.M.D.,P.A.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/18/2006
Last Update Date: 09/24/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

48 MEDICAL PARK DR E SUITE 158
BIRMINGHAM AL
35235-3400
US

IV. Provider business mailing address

48 MEDICAL PARK E DR SUITE 158
BIRMINGHAM AL
35235
US

V. Phone/Fax

Practice location:
  • Phone: 205-838-3060
  • Fax: 205-838-3516
Mailing address:
  • Phone: 205-838-3060
  • Fax: 205-838-3516

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223S0112X
TaxonomyOral and Maxillofacial Surgery (Dentist)
License Number2948
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: