Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207V00000X | Obstetrician & Gynecologist | MD421810 | PA |
Y | 207VM0101X | Gynecologist - Maternal & Fetal Medicine | MD421810 | PA |
NPI | 1336105410 |
---|---|
Provider Name | Dr. Jay Joseph Bringman |
First Address | Danville, PA 17822-4903 |
Second Address | Danville, PA 17822-2920 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 26/04/2006 |
Last Update Date | 10/08/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1022032660002 | (05) | PA |
H97296 | (02) |