MEDICARE: DR. RUDY BRINER 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	207T00000X	Neurological Surgery Physician	G3179	TX

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	P00301978	OTHER	TX	MEDICARE RAILROAD

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	8U5900	OTHER	TX	BLUE CROSS PROVIDER NUMBE
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1891809026
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. RUDY BRINER M.D.

Provider Business Mailing Address
First Line	:	14485 STATE HIGHWAY 30
Second Line	:
City	:	COLLEGE STATION
State	:	TX
Zip	:	77845-4825
Country	:	US
Telephone Number	:	979-220-7738
Fax Number	:

Provider Business Practice Location Address
First Line	:	8441 STATE HIGHWAY 47 STE 4300
Second Line	:
City	:	BRYAN
State	:	TX
Zip	:	77807-3235
Country	:	US
Telephone Number	:	979-776-8896
Fax Number	:	979-774-0716

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

Provider Enumeration Date	:	08/17/2006
Last Update Date	:	04/13/2018

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Directions to “ DR. RUDY BRINER M.D.” Practice Location

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