MEDICARE: AMANDA BRUMLEY DO

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	207V00000X	Obstetrics & Gynecology Physician	T7501	TX

General Provider Information

NPI Number	:	1932600996
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	AMANDA BRUMLEY DO

Provider Business Mailing Address
First Line	:	2213 CHERRY ST
Second Line	:
City	:	TOLEDO
State	:	OH
Zip	:	43608-2603
Country	:	US
Telephone Number	:	419-251-6522
Fax Number	:	419-251-6849

Provider Business Practice Location Address
First Line	:	2460 N INTERSTATE HIGHWAY 35 E STE 165
Second Line	:
City	:	WAXAHACHIE
State	:	TX
Zip	:	75165-5258
Country	:	US
Telephone Number	:	972-938-3493
Fax Number	:	972-937-5608

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

Provider Enumeration Date	:	02/26/2018
Last Update Date	:	07/29/2022

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Directions to “ AMANDA BRUMLEY DO” Practice Location

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