DR. STEVEN BRENISEN LONG (NPI# 1245448182) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1245448182 |
Entity Type | Individual |
Full Name | DR. STEVEN BRENISEN LONG |
Credential | M.D. |
Practice Address |
9690 Ventana Way Alpharetta GA 30022-6394 |
Mailing Address |
4680 Spring Wood Trce Cumming GA 30041-1701 |
Practice Telephone | 7706236773 |
Practice Fax Number | 7702329882 |
Mailing Telephone | 6786221979 |
Enumeration Date | 2007-05-21 |
Last Update Date | 2007-07-08 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 208D00000X | General Practice | 049225 | GA | Allopathic & Osteopathic Physicians |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1528597853 | Steven D Long | Behavioral Analyst | 1737 Veterans Hwy, Islandia, NY 11749-1529 | 2017-06-09 |
1154784833 | Steven Long | Family Medicine | 3085 Meadowlark Ln, Altoona, WI 54720-2656 | 2016-03-31 |
1790973741 | Steven Vernon Long | Registered Nurse | 3023 Stillriver Dr, Howell, MI 48843-7384 | 2007-10-03 |
1790812329 | Steven Long | Chiropractor | 948 W Brandon Blvd, Brandon, FL 33511 | 2007-02-28 |
1952460834 | Steven Long | Case Manager/Care Coordinator | 2800 Spring St Ste C, Hot Springs, AR 71901-3779 | 2006-12-07 |
1558457424 | Steven Long | Chiropractor | 4359 Town Center Blvd, Suite #213, El Dorado Hills, CA 95762-7113 | 2006-10-05 |
1548211055 | Steven E Long | Family Medicine | 1400 Woodland Ave, Duluth, MN 55803-2624 | 2006-05-12 |
1396266722 | Steven Russell Long | Counselor | 211 E Parkwood Ave Ste 208, Friendswood, TX 77546-5387 | 2017-07-07 |
1235246703 | Steven Addington Long | Otolaryngology | 2875 Nw Stucki Ave, Hillsboro, OR 97124-5806 | 2006-08-23 |
1194737908 | Steven R Long | Specialist | 3301 C St, Suite 200e, Sacramento, CA 95816-3300 | 2006-08-12 |
Street Address |
9690 VENTANA WAY |
City | ALPHARETTA |
State | GA |
Zip Code | 30022-6394 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1285766717 | James Joseph Dugal | Clinic/Center | 9690 Ventana Way, Alpharetta, GA 30022-6394 | 2007-03-11 |
1245714963 | Abiodun Adebisi | Nurse Practitioner | 9690 Ventana Way, Alpharetta, GA 30022-6394 | 2018-09-19 |
1972660793 | Robert Felix Fortin | Internal Medicine | 9690 Ventana Way, Alpharetta, GA 30022-6394 | 2007-01-02 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1982244463 | Youthful Md LLC | Family Medicine | 10595 Old Alabama Rd Con, # 9a, Alpharetta, GA 30022 | 2020-01-13 |
1194367185 | Maureen Onyewuenyi | Counselor | 1030 Jones Bridge Road, Suite 301, Johns Creek, GA 30022 | 2019-10-11 |
1427543032 | Neal Baker | Counselor | 5755 N Point Pkwy Ste 90, Alpharetta, GA 30022 | 2018-06-26 |
1215428685 | Advanced Cosmetic and Family Dentistry, PC | Durable Medical Equipment & Medical Supplies | 4205 North Point Parkway Bldg D, Alpharetta, GA 30022 | 2018-05-22 |
1114431541 | Grace Yang | Speech-Language Pathologist | 3207 Beaver Creek Road, Alpharetta, GA 30022 | 2017-11-21 |
1881112217 | Brittany Ketchup Hall | Counselor | 2750 Old Alabama Rd Unit 200, Alpharetta, GA 30022 | 2017-09-06 |
1154849867 | Fatima Wasim | Psychologist | 5755 N Point Pkwy Ste 79, Alpharetta, GA 30022 | 2017-09-01 |
1730602418 | Brian Keith Soles | Pharmacist | 4305 Old Milton Parkway, Alpharetta, GA 30022 | 2017-07-25 |
1548718976 | Serenity Life Counseling Center LLC | Community/Behavioral Health | 10068 Parc Sky Cir, Alpharetta, GA 30022 | 2016-09-14 |
1487016317 | National Vision, Inc. | Technician/Technologist | 7661 N Point Pwky, Ste 600, Alpharetta, GA 30022 | 2016-03-21 |
Find all providers in zip 30022 |
Taxonomy Code | 208D00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | General Practice |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1225638166 | Ihealthgp, LLC | General Practice | 10202 Masters Way, Alpharetta, GA 30005-8842 | 2020-10-29 |
1346778404 | Alegis Care Services LLC | General Practice | 3480 Preston Ridge Rd Ste 425, Alpharetta, GA 30005-8891 | 2017-06-01 |
1134495757 | Medical Centers of Atlanta II, LLC | General Practice | 2750 Holcomb Bridge Rd, Suite 100, Alpharetta, GA 30022-1804 | 2012-03-28 |
1457625261 | Alpharetta Family Medicine | General Practice | 261 N. Main St., Alpharetta, GA 30009-3655 | 2012-02-27 |
1245424431 | Patricia A Willey | General Practice | 3000 Old Alabama Rd, Suite 119-608, Jackson & Coker, Alpharetta, GA 30022 | 2007-08-30 |
1548486822 | William Charles Parrish | General Practice | 1325 Sherry Dr, Alpharetta, GA 30004-1129 | 2007-04-17 |
1720174873 | Kimberly J Green | General Practice | 1090 Cambridge Sq, Suite A, Alpharetta, GA 30009-1875 | 2006-10-05 |
1851754600 | Margaret Renee Acker | General Practice | 6240 Shiloh Rd, Alpharetta, GA 30005-8347 | 2016-03-30 |
1659760718 | American Medical Testing Lab and Treatment Ctr. | General Practice | 6250 Shiloh Rd, Ste 120, Alpharetta, GA 30005-8400 | 2015-01-13 |
1396080925 | Catalyst Physical Medicine LLC | General Practice | 4914 Atlanta Hwy, Alpharetta, GA 30004-2921 | 2012-12-08 |
Find all providers in ALPHARETTA |
City | ALPHARETTA |
Zip Code | 30022 |
Please comment or provide details below to improve the information on DR. STEVEN BRENISEN LONG.
Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.