DR. CHARLES B BRENTNALL JR. (NPI# 1497751036) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497751036 |
| Entity Type | Individual |
| Full Name | DR. CHARLES B BRENTNALL JR. |
| Credential | M.D., P.A. |
| Practice Address |
7 Brown Ave Sylacauga AL 35150-2421 |
| Mailing Address |
Po Box 2190 Sylacauga AL 35150-5190 |
| Practice Telephone | 2562490358 |
| Practice Fax Number | 2562498508 |
| Mailing Telephone | 2562490358 |
| Mailing Fax Number | 2562498508 |
| Enumeration Date | 2005-06-27 |
| Last Update Date | 2008-04-04 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207KA0200X |
Allergy & Immunology Specialization: Allergy |
00007246 | AL | Allopathic & Osteopathic Physicians |
| N | 207N00000X | Dermatology | 00007246 | AL | Allopathic & Osteopathic Physicians |
| N | 207NP0225X |
Dermatology Specialization: Pediatric Dermatology |
00007246 | AL | Allopathic & Osteopathic Physicians |
| N | 207Y00000X | Otolaryngology | 00007246 | AL | Allopathic & Osteopathic Physicians |
| N | 208600000X | Surgery | 00007246 | AL | Allopathic & Osteopathic Physicians |
| N | 2086S0122X |
Surgery Specialization: Plastic and Reconstructive Surgery |
00007246 | AL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AL | BLUE CROSS AND BLUE SHIED | 510-02286 | 01 |
| AL | BLUECROSS/BLUE SHIELD | 510-19927 | 01 |
| Street Address |
7 BROWN AVE |
| City | SYLACAUGA |
| State | AL |
| Zip Code | 35150-2421 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023280716 | Charles Brentnall, M.d., P.a. | Specialist | 7 Brown Ave, Sylacauga, AL 35150-2421 | 2008-04-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245830934 | Casey Delane Sumner | Pharmacist | 1930 Pleasant Ridge Loop, Sylacauga, AL 35150 | 2020-10-30 |
| 1043870231 | Rehab and Wellness Clinic, LLC | Pain Medicine | 234 North Broadway, Sylacauga, AL 35150 | 2019-06-19 |
| 1366999195 | Tasia Bates Bradford | Nurse Practitioner | 209 W Spring St Ste 102, Sylacauga, AL 35150 | 2016-09-09 |
| 1083831804 | Coosa Valley Urology, P.C. | Specialist | 16 South Douglas Avenue, Sylacauga, AL 35150 | 2007-04-20 |
| 1689720641 | John Sidney Mcpeters | Dentist | 1604 Talladega Hwy, Dr John S Mcpeters, Sylacauga, AL 35150 | 2007-01-25 |
| 1972652386 | David Paul Currie | Dentist | 499 W 3rd St, Sylacauga, AL 35150 | 2007-01-09 |
| 1336221647 | Thomas M Kines | Optometrist | 493 W 3rd Street, Sylacauga, AL 35150 | 2006-10-19 |
| 1275623639 | Charles E. Singleton | Surgery | 208 West Spring Street, Suite 300, Sylacauga, AL 35150 | 2006-10-13 |
| 1881794410 | Said Y Salman | Durable Medical Equipment & Medical Supplies | 122 N Broadway Ave, Sylacauga, AL 35150 | 2006-09-24 |
| 1952416141 | Bruno's Supermarkets, LLC. | Durable Medical Equipment & Medical Supplies | 1301 West Ft Williams, Sylacauga, AL 35150 | 2006-08-20 |
| Find all providers in zip 35150 | ||||
| Taxonomy Code | 207KA0200X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Allergy & Immunology |
| Specialization | Allergy |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487708012 | Richard A Walker | Allergy & Immunology | 1527 5th Ave N, Suite 260, Birmingham, AL 35203-1854 | 2007-01-22 |
| 1811952849 | John Allen Meadows | Allergy & Immunology | 4284 Lomac St, Montgomery, AL 36106-3604 | 2006-04-20 |
| 1518948306 | Steven George Helm | Allergy & Immunology | 535 Jack Warner Pkwy Ne, Suite C, Tuscaloosa, AL 35404-5751 | 2005-11-08 |
| 1083619225 | Shashi A.m. Kumar | Allergy & Immunology | 4030 Pepperwood Cir Sw, Huntsville, AL 35801-6499 | 2005-06-15 |
| 1124502331 | Wendy Paige Miller | Allergy & Immunology | 515 S 3rd St, Gadsden, AL 35901-5301 | 2018-09-24 |
| 1467660217 | Sunena Chhabra Argo | Allergy & Immunology | 504 Brookwood Blvd, Birmingham, AL 35209-6802 | 2007-05-17 |
| 1043347107 | Adult & Pediatric Asthma & Allergy Center, P.C. | Allergy & Immunology | 1032 Hillcrest Rd, Mobile, AL 36695-3917 | 2007-02-27 |
| 1073664207 | Kurt W. Kantzler D.o., Inc. | Allergy & Immunology | 215 S 5th St, Gadsden, AL 35901-4217 | 2007-01-15 |
| 1790877892 | Druhan Lowry Howell | Allergy & Immunology | 100 Memorial Hospital Dr Ste 1a, Mobile, AL 36608 | 2006-09-28 |
| 1942246467 | Lucinda T Patton | Allergy & Immunology | 1700 Springhill Ave, Suite 100, Mobile, AL 36604-1407 | 2006-06-22 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on DR. CHARLES B BRENTNALL JR..
| 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.