MEDICARE: DR. HOPE S BRUSTEIN D.P.M.

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	213ES0103X	Foot & Ankle Surgery Podiatrist	156	AL

General Provider Information

NPI Number	:	1124104708
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. HOPE S BRUSTEIN D.P.M.

Provider Business Mailing Address
First Line	:	7112 UNIVERSITY CT
Second Line	:
City	:	MONTGOMERY
State	:	AL
Zip	:	36117-8045
Country	:	US
Telephone Number	:	334-273-9000
Fax Number	:	334-273-7997

Provider Business Practice Location Address
First Line	:	7112 UNIVERSITY CT
Second Line	:
City	:	MONTGOMERY
State	:	AL
Zip	:	36117-8045
Country	:	US
Telephone Number	:	334-273-9000
Fax Number	:	334-273-7997

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

Provider Enumeration Date	:	10/27/2006
Last Update Date	:	07/08/2007

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