Brigham, Beryl Ann

Brigham, Beryl Ann is an individual health care provider with primary practice located at 2014 Ben Merritt Dr Suite A, Decatur TX 76234-3850. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Brigham, Beryl Ann can be contacted via phone (940) 249-9009.

Contact Information

Primary practice address
2014 Ben Merritt Dr Suite A Decatur TX 76234-3850
Phone: (940) 249-9009
Fax: (940) 626-8684
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X AP115429 Texas

Profile Details

NPI number 1477636009
LBN Legal business name Brigham, Beryl Ann
Credentials ACNP-BC
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 24th, 2006
Last updated Oct 26th, 2017 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1477636009 NPPES
Texas Other 8613NZ BCBS
Texas MEDICAID 366546501 BCBS

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