ROBERT BRULL M.D. NPI 1639180169

NPI Information

NPI: 1639180169
Provider Name: ROBERT BRULL, M.D.
Classification: Specialist - 174400000X
Entity Type: Individual
Address:
1459 POTOMAC AVE
HAGERSTOWN, MD
ZIP 21742
Phone: (301) 791-5882
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Robert Brull, M.D. is a specialist in Hagerstown, MD. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. Robert Brull, M.D. NPI is 1639180169. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1459 POTOMAC AVE
HAGERSTOWN, MD
ZIP 21742-315
Phone: (301) 791-5882
Fax: (301) 714-0632

The enumeration date for this NPI number is 8/10/2006 and was last updated on 1/3/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	174400000X	Specialist		D 0004359	MARYLAND	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	44775-1100	MEDICAID	MARYLAND
2	1-1906 RB	MEDICARE ID-TYPE UNSPECIFIED	MARYLAND
3	B68652	MEDICARE UPIN	MARYLAND

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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