DR. BRENT CHARLES LISTER TRULL (NPI# 1639656192) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639656192 |
| Entity Type | Individual |
| Full Name | DR. BRENT CHARLES LISTER TRULL |
| Credential | MD |
| Practice Address |
225 Abraham Flexner Way Ste 850 Louisville KY 40202-1858 |
| Mailing Address |
946 Goss Ave Apt 2205 Louisville KY 40217-2281 |
| Practice Telephone | 5025620312 |
| Mailing Telephone | 5026579220 |
| Enumeration Date | 2018-07-26 |
| Last Update Date | 2018-07-26 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2082S0105X |
Plastic Surgery Specialization: Surgery of the Hand |
51182 | KY | Allopathic & Osteopathic Physicians |
| Street Address |
225 ABRAHAM FLEXNER WAY STE 850 |
| City | LOUISVILLE |
| State | KY |
| Zip Code | 40202-1858 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881825636 | Emilie Mailhot | Orthopaedic Surgery | 225 Abraham Flexner Way Ste 850, Louisville, KY 40202-1858 | 2009-07-28 |
| 1447850383 | Yu-jung Su | Surgery | 225 Abraham Flexner Way Ste 850, Louisville, KY 40202-1858 | 2020-10-29 |
| 1821604356 | Mohammed Y Mirza | Surgery | 225 Abraham Flexner Way Ste 850, Louisville, KY 40202-1858 | 2020-09-21 |
| 1144831975 | Rehan Zahid | Plastic Surgery | 225 Abraham Flexner Way Ste 850, Louisville, KY 40202-1858 | 2020-08-14 |
| 1235749227 | Monica B Pecache | Surgery | 225 Abraham Flexner Way Ste 850, Louisville, KY 40202-1858 | 2020-08-04 |
| 1528678513 | Laura L Cardenas Mateus | Orthopaedic Surgery | 225 Abraham Flexner Way Ste 850, Louisville, KY 40202-1858 | 2020-08-04 |
| 1932717758 | Ja Hea Gu | Surgery | 225 Abraham Flexner Way Ste 850, Louisville, KY 40202-1858 | 2020-07-17 |
| 1942851266 | Rahul Patil | Surgery | 225 Abraham Flexner Way Ste 850, Louisville, KY 40202-1858 | 2019-09-27 |
| 1003462771 | Wassim Mourad | Orthopaedic Surgery | 225 Abraham Flexner Way Ste 850, Louisville, KY 40202-3840 | 2019-08-17 |
| 1720633381 | Kjell Van Royen | Orthopaedic Surgery | 225 Abraham Flexner Way Ste 850, Louisville, KY 40202-1858 | 2019-08-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972129682 | Garvit Chhabra | Student in an Organized Health Care Education/Training Program | 550, South Jackson Street, Acb, Third Floor, Louisville, KY 40202 | 2020-06-18 |
| 1396367009 | Richele Williams | Student in an Organized Health Care Education/Training Program | 201 Abraham Flexner Way Department of Family and Pediac, Suite 690, Louisville, KY 40202 | 2020-05-15 |
| 1942822028 | Ahmed Khaled Saleh | Student in an Organized Health Care Education/Training Program | 500 S Jackson St, Room 305, Louisville, KY 40202 | 2020-05-12 |
| 1457972952 | Mir Ali Raza Talpur | Student in an Organized Health Care Education/Training Program | 401 E Chestnut Street, Suite 600 University of Louisvi, Louisville, KY 40202 | 2020-05-06 |
| 1316575533 | Abigail Hatfield | Student in an Organized Health Care Education/Training Program | Internal Medicine Training Program, 550 South Jackson Street, Acb 3rd Floor, Louisville, KY 40202 | 2020-04-01 |
| 1851929210 | Madison Harmon | Student in an Organized Health Care Education/Training Program | Uofl Department of Emergency Medicine, 530 S. Jackson Street Room C1h17, Louisville, KY 40202 | 2020-03-31 |
| 1184252041 | Marianna Weaver | Student in an Organized Health Care Education/Training Program | 550 South Jackson Street, Acb 3rd Floor, University of Louisville, Louisville, KY 40202 | 2020-03-27 |
| 1700347341 | Charles Jake Sadle | Student in an Organized Health Care Education/Training Program | Office of Medical Education C/o Brittney Luckett, 571 S. Floyd St., Ste. 412, Louisville, KY 40202 | 2019-03-27 |
| 1437616794 | Paladina Health, LLC | Family Medicine | Paladina Health Humana East, 123 E Main Street, Louisville, KY 40202 | 2019-02-22 |
| 1205393568 | Paladina Health, LLC | Family Medicine | Paladina Health Humana West, 500 W Main Street, Louisville, KY 40202 | 2019-02-22 |
| Find all providers in zip 40202 | ||||
| Taxonomy Code | 2082S0105X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Plastic Surgery |
| Specialization | Surgery of the Hand |
| A plastic surgeon with additional training in the investigation, preservation, and restoration by medical, surgical and rehabilitative means of all structures of the upper extremity directly affecting the form and function of the hand and wrist. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Plastic Surgery, 2007. http://www.abplsurg.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Plastic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720190093 | Brownsboro Plastic and Hand Surgery, Inc | Plastic Surgery | 6002 Brownsboro Park Blvd Ste E, Louisville, KY 40207-1298 | 2006-08-31 |
| 1144831975 | Rehan Zahid | Plastic Surgery | 225 Abraham Flexner Way Ste 850, Louisville, KY 40202-1858 | 2020-08-14 |
| 1699329482 | Mohammed M Elnoor | Plastic Surgery | 225 Abraham Flexner Way Ste 850, Louisville, KY 40202-1858 | 2019-07-30 |
| 1790339539 | Ahad Attiah | Plastic Surgery | 225 Abraham Flexner Way Ste 850, Louisville, KY 40202-1858 | 2019-07-30 |
| 1265936421 | Maria Carolina Herrand | Plastic Surgery | 225 Abraham Flexner Way Ste 850, Louisville, KY 40202-3840 | 2018-03-22 |
| 1982128658 | Uzair Ahmed Qazi | Plastic Surgery | 225 Abraham Flexner Way, Suite 850, Louisville, KY 40202 | 2017-08-03 |
| 1053866087 | Donald Alexander Graham | Plastic Surgery | 225 Abraham Flexner Way, Suite 850, Louisville, KY 40202-1882 | 2016-08-19 |
| 1326493461 | Panambur Laxminaraya Bhandari | Plastic Surgery | 225 Abraham Flexner Way, Suite 850, Christine M. Kleinert Institute, Louisville, KY 40202 | 2016-04-26 |
| 1003214396 | Hand and Wrist of Louisville, Pllc | Plastic Surgery | 2400 Eastpoint Pkwy, Ste 570, Louisville, KY 40223-4154 | 2014-12-18 |
| 1225352081 | Claudiu Muresan | Plastic Surgery | 225 Abraham Flexner Way Ste 700, Louisville, KY 40202-3868 | 2010-03-23 |
| Find all providers in LOUISVILLE | ||||
| City | LOUISVILLE |
| Zip Code | 40202 |
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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.