DR. JOHN BRIAN BRIZENDINE (NPI# 1457575813) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457575813 |
| Entity Type | Individual |
| Full Name | DR. JOHN BRIAN BRIZENDINE |
| Credential | MD |
| Practice Address |
2305 South 65 Highway, Building A Marshall MO 65340-3702 |
| Practice Telephone | 6608866692 |
| Practice Fax Number | 6608863321 |
| Mailing Telephone | 6608866692 |
| Mailing Fax Number | 6608863321 |
| Enumeration Date | 2007-04-13 |
| Last Update Date | 2020-10-15 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208600000X | Surgery | 2008033381 | MO | Allopathic & Osteopathic Physicians |
| N | 208600000X | Surgery | LL 25038 | SC | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | 1457575813 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871573543 | John Sands Brizendine | Dentist | 24432 Muirlands Blvd, Suite #209, Lake Forest, CA 92630-3939 | 2006-01-19 |
| Street Address |
2305 SOUTH 65 HIGHWAY, BUILDING A |
| City | MARSHALL |
| State | MO |
| Zip Code | 65340-3702 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467455568 | Brenda K Dodds | Nurse Practitioner | 2305 South 65 Highway, Building A, Marshall, MO 65340-3702 | 2005-05-23 |
| 1033401328 | Megan Leigh Shepard | Registered Nurse | 2305 South 65 Highway, Building A, Marshall Women's Center, Marshall, MO 65340-3702 | 2011-05-05 |
| 1285779330 | John Fitzgibbon Memorial Hospital, Inc. | Psychiatry & Neurology | 2305 South 65 Highway, Building A, Marshall, MO 65340-3702 | 2007-02-20 |
| 1366558082 | William J Campbell | Social Worker | 2305 South 65 Highway, Building A, Marshall, MO 65340-3702 | 2006-08-23 |
| 1396767349 | Sonal Patel Brizendine | Family Medicine | 2305 South 65 Highway, Building A, Marshall, MO 65340-3702 | 2006-07-25 |
| 1245252303 | Mary Carolyn Fahrmeier | Psychiatry & Neurology | 2305 South 65 Highway, Building A, Marshall, MO 65340-3702 | 2006-07-24 |
| 1710904347 | John Fitzgibbon Memorial Hospital, Inc. | Clinic/Center | 2305 South 65 Highway, Building A, Marshall, MO 65340-3702 | 2006-07-17 |
| 1437175320 | John Fitzgibbon Memorial Hospital, Inc. | Clinic/Center | 2305 South 65 Highway, Building A, Marshall, MO 65340-3702 | 2006-07-14 |
| 1093731986 | John Fitzgibbon Memorial Hospital, Inc. | Clinic/Center | 2305 South 65 Highway, Building A, Marshall, MO 65340-3702 | 2006-07-14 |
| 1194700054 | David A Carr | Obstetrics & Gynecology | 2305 South 65 Highway, Building A, Marshall, MO 65340-3702 | 2005-12-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336791847 | Gerald D Robertson | Chiropractor | 1566 S Odell Ave, Marshall, MO 65340 | 2019-07-15 |
| 1659860765 | William L Pearman | Nurse Practitioner | Marshall Emergency Physicians, 2305 South Highway 65, Marshall, MO 65340 | 2018-05-03 |
| 1992204978 | Susan Elizabeth Lichtenberg | Speech-Language Pathologist | 860 W. Vest St., Marshall, MO 65340 | 2018-02-06 |
| 1568974616 | Falin Kay Larsen | Family Medicine | 2303 Us-65, Marshal, MO 65340 | 2017-10-30 |
| 1881132587 | Dana Zinn | Nurse Practitioner | 1547 Commerce Dr, Marshall, MO 65340 | 2017-02-02 |
| 1760877179 | Lifetime Dental Associates | Dentist | 2301 S. 65 Hwy, Suite 1, Marshall, MO 65340 | 2015-04-02 |
| 1780078949 | Glenda Cervantes | Interpreter | 1324 S Ellswort Ave, Marshall, MO 65340 | 2015-03-26 |
| 1174922173 | Michelle Stockman | Licensed Practical Nurse | 1004 S. Lincoln Ave, Marshall, MO 65340 | 2014-08-15 |
| 1730527722 | Lynn C Evans | Pharmacist | 941 S. Cherokee, Suite 1, Marshall, MO 65340 | 2013-06-12 |
| 1740589753 | Bethany Anne Harris | Social Worker | 1126 E. Hwy Ww, Marshall, MO 65340 | 2011-03-17 |
| Find all providers in zip 65340 | ||||
| Taxonomy Code | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295154490 | Noble Med-surgical Consultants LLC | Surgery | 5915 Elysian Fields Rd, Marshall, TX 75672-2083 | 2014-04-15 |
| 1972741700 | Matthew Steven Ralph | Surgery | 215 E Mansion St Ste 3e, Marshall, MI 49068-1559 | 2009-02-02 |
| 1750448908 | Elfrink Surgical, LLC | Surgery | 2301 S Highway 65, Marshall, MO 65340-3702 | 2007-01-03 |
| 1194816751 | Gordon Keith Alcox | Surgery | 304 University Ave Suite 201, Marshall, TX 75670-5247 | 2006-09-27 |
| 1679534952 | Omer Qureishy | Surgery | 300 Bruce Street, Marshall, MN 56258 | 2006-03-28 |
| 1730153529 | Ellison F. Kalda | Surgery | 300 South Bruce Street, Affiliated Community Medical Centers, Marshall, MN 56258 | 2006-02-16 |
| 1356344931 | Roy J Elfrink | Surgery | 2301 S. 65 Highway, Marshall, MO 65340 | 2005-05-27 |
| 1114280294 | Theresa Klee | Surgery | 215 E Mansion St Ste 3e, Marshall, MI 49068-1559 | 2012-06-22 |
| 1104119965 | Maggie Jane Steinbeisser | Surgery | 300 S Bruce Street, Marshall, MN 56258 | 2011-05-25 |
| 1053627364 | Lucky Vang | Surgery | 300 S Bruce St, Marshall, MN 56258-1934 | 2010-08-24 |
| Find all providers in MARSHALL | ||||
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| 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.