Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207Q00000X | Family Doctor | N7907 | TX |
N | 207QH0002X | Family Doctor - Hospice and Palliative Medicine | N7907 | TX |
NPI | 1578791976 |
---|---|
Provider Name | Dr. Matthew Alan Brimberry |
First Address | Austin, TX 78735-8982 |
Second Address | Austin, TX 78735-8982 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 24/06/2009 |
Last Update Date | 21/11/2018 |