Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207X00000X | Orthopaedic Surgeon | BP10044556 | TX |
N | 207XS0117X | Orthopaedic Spine Surgeon | R1755 | TX |
NPI | 1154684645 |
---|---|
Provider Name | Dr. Brian James Gengler |
First Address | Burleson, TX 76028-0281 |
Second Address | Burleson, TX 76028-0281 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 19/06/2012 |
Last Update Date | 13/01/2022 |