Revanna, Brunda

Revanna, Brunda is an sole proprietor health care provider with primary practice located at 1509 6Th Ave S , Birmingham AL 35233-1601. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Revanna, Brunda can be contacted via phone (205) 930-3200.

Contact Information

Primary practice address
1509 6Th Ave S Birmingham AL 35233-1601
Phone: (205) 930-3200
Fax: (205) 521-5524
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 00025426 Alabama

Profile Details

NPI number 1689646135
LBN Legal business name Revanna, Brunda
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 7th, 2006
Last updated Aug 21st, 2025 - about last year

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 1689646135 NPPES
Other 051517109 AL BCBS
MEDICAID 009930945 AL BCBS
Other 270060909 AL BCBS

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