MEDICARE: DR. DARRELL MONROE BRIMHALL M.D.

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
1	207Q00000X	Family Medicine Physician	01083057A	IN

General Provider Information

NPI Number	:	1013202449
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DARRELL MONROE BRIMHALL M.D.

Provider Business Mailing Address
First Line	:	PO BOX 236
Second Line	:
City	:	BATESVILLE
State	:	IN
Zip	:	47006-0236
Country	:	US
Telephone Number	:	812-933-5441
Fax Number	:

Provider Business Practice Location Address
First Line	:	11137 US HIGHWAY 52
Second Line	:
City	:	BROOKVILLE
State	:	IN
Zip	:	47012-7901
Country	:	US
Telephone Number	:	765-647-5126
Fax Number	:	765-647-5900

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/14/2011
Last Update Date	:	09/17/2024

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