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DR. BRENT CHARLES LISTER TRULL MD NPI 1639656192


NPI Information

NPI: 1639656192
Provider Name: DR. BRENT CHARLES LISTER TRULL, MD
Classification: Plastic Surgery - 2082S0105X
Entity Type: Individual

Specialization: Surgery of the Hand

PECOS Registration: Yes

Address:
225 ABRAHAM FLEXNER WAY STE 850
LOUISVILLE, KY
ZIP 40202
Phone: (502) 562-0312
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DR. Brent Charles Lister Trull, MD is a surgery of the hand plastic surgery in Louisville, KY. The provider is 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. DR. Brent Charles Lister Trull, MD NPI is 1639656192. 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:

225 ABRAHAM FLEXNER WAY STE 850
LOUISVILLE, KY
ZIP 40202-858
Phone: (502) 562-0312

The NPI 1639656192 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 7/26/2018 and was last updated on 7/26/2018.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12082S0105XPlastic SurgerySurgery of the Hand51182KENTUCKYYes

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

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